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General NPI Number Information
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NPI Number | 1427553130
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Entity Type | Organization
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Legal Business Name | CHIROATHLETICS PLLC
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 4401 COIT RD STE 403
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City | FRISCO
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State | TX
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Zip | 75035-0516
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Country | US
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Telephone | 214-295-4321
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Fax | 855-644-7364
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Provider Business Mailing Address
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Address Line | 301 VALLEY COVE DR
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City | GARLAND
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State | TX
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Zip | 75043-2954
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Country | US
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Telephone | 413-717-0475
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Fax | 855-644-7364
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM Y CHANG
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Credential | DC
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Telephone | 413-717-0475
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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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