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General NPI Number Information
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NPI Number | 1396801429
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Entity Type | Organization
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Legal Business Name | DAVID BURROUGHS PC
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 02/20/2012
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Provider Practice Location Address
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Address Line | 28120 US HIGHWAY 281 N SUITE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78260-1708
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Country | US
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Telephone | 830-980-7520
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Fax | 830-438-7739
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Provider Business Mailing Address
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Address Line | 28120 US HIGHWAY 281 N SUITE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78260-1708
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Country | US
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Telephone | 830-980-7520
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Fax | 830-438-7739
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID W BURROUGHS
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Credential | D.C.
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Telephone | 830-980-7520
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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 | 7226
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License Number State | TX
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