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General NPI Number Information
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NPI Number | 1386866903
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Entity Type | Organization
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Legal Business Name | INJURY ASSISTANCE C ENTERS, INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2514 S. BUCKNER BLVD.
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City | DALLAS
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State | TX
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Zip | 75227
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Country | US
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Telephone | 214-325-9015
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Fax |
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Provider Business Mailing Address
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Address Line | 3831 ROYAL LANE
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City | DALLAS
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State | TX
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Zip | 75229
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Country | US
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Telephone | 214-350-1247
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY W BUNTING
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Credential | DC
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Telephone | 214-325-9015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6527
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License Number State | TX
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