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General NPI Number Information
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NPI Number | 1417284910
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Entity Type | Organization
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Legal Business Name | GLOBAL BODY HEALTH ,PA
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | 1422 W MAIN ST #205
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City | LEWISVILLE
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State | TX
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Zip | 75067-3388
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Country | US
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Telephone | 972-539-1511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 270269
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City | FLOWER MOUND
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State | TX
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Zip | 75027-0269
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Country | US
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Telephone | 972-539-1511
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Fax |
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Authorized Official
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Title or Position | OWNER PROVIDER
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Name | DARREN J TAYLOR
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Credential | DC
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Telephone | 972-539-1511
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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 |
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License Number State | TX
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