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General NPI Number Information
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NPI Number | 1417176975
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Entity Type | Organization
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Legal Business Name | WARD CHIROPRACTIC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 3530 FOREST LN STE 50
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City | DALLAS
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State | TX
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Zip | 75234-4161
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Country | US
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Telephone | 214-351-4070
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Fax | 214-352-4074
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Provider Business Mailing Address
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Address Line | 3530 FOREST LN STE 50
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City | DALLAS
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State | TX
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Zip | 75234-4161
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Country | US
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Telephone | 214-351-4070
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Fax | 214-352-4074
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS MICHAEL WARD
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Credential | D.C.
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Telephone | 214-351-4070
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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 | 8877
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License Number State | TX
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