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General NPI Number Information
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NPI Number | 1407019714
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Entity Type | Organization
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Legal Business Name | CHIROCARE OF TEXAS
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 803 E NASA RD 1 STE 114
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City | WEBSTER
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State | TX
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Zip | 77598-5303
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Country | US
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Telephone | 281-486-7044
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Fax |
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Provider Business Mailing Address
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Address Line | 803 E NASA RD 1 STE 114
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City | WEBSTER
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State | TX
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Zip | 77598-5303
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Country | US
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Telephone | 281-486-7044
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID L KINGCAID
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Credential | DC
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Telephone | 281-486-7044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 7018
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License Number State | TX
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