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General NPI Number Information
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NPI Number | 1427182690
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Entity Type | Organization
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Legal Business Name | MIX FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 301 HIGHWAY 71 W STE 201
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City | BASTROP
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State | TX
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Zip | 78602-4111
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Country | US
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Telephone | 512-321-9200
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Fax | 512-321-9201
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Provider Business Mailing Address
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Address Line | 301 HIGHWAY 71 W STE 201
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City | BASTROP
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State | TX
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Zip | 78602-4111
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Country | US
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Telephone | 512-321-9200
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Fax | 512-321-9201
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | AMANDA LYNN HILBIG
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Credential |
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Telephone | 512-321-9200
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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 | 10313
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License Number State | TX
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