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General NPI Number Information
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NPI Number | 1427624766
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Entity Type | Organization
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Legal Business Name | AWARENESS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 4005 GATEWAY DR STE 200
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City | COLLEYVILLE
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State | TX
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Zip | 76034-5906
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Country | US
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Telephone | 817-868-0252
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Fax | 817-868-0245
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Provider Business Mailing Address
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Address Line | 4005 GATEWAY DR STE 200
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City | COLLEYVILLE
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State | TX
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Zip | 76034-5906
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Country | US
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Telephone | 817-868-0252
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Fax | 817-868-0245
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | BRYAN H LABUS
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Credential | DC
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Telephone | 817-994-7694
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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 |
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