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General NPI Number Information
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NPI Number | 1396915997
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Entity Type | Organization
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Legal Business Name | HEALTH & PERFORMANCE
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 2067 N CENTRAL EXPY SUITE 104
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City | RICHARDSON
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State | TX
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Zip | 75080-2755
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Country | US
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Telephone | 817-557-2982
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Fax | 972-704-2886
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Provider Business Mailing Address
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Address Line | 2067 N CENTRAL EXPY SUITE 104
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City | RICHARDSON
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State | TX
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Zip | 75080-2755
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Country | US
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Telephone | 817-557-2982
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Fax | 972-704-2886
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Authorized Official
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Title or Position | OWNER
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Name | JUNAID FAROOQUI
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Credential | DC
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Telephone | 817-557-2982
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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 | 9866
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License Number State | TX
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