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General NPI Number Information
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NPI Number | 1437356011
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Entity Type | Organization
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Legal Business Name | LINDALE HEALTHCARE CLINIC
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 08/02/2007
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Provider Practice Location Address
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Address Line | 6219 IRVINGTON BLVD SUITE A
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City | HOUSTON
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State | TX
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Zip | 77022-5951
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Country | US
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Telephone | 713-697-6881
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Fax | 713-697-6025
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Provider Business Mailing Address
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Address Line | 6219 IRVINGTON BLVD SUITE A
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City | HOUSTON
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State | TX
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Zip | 77022-5951
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Country | US
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Telephone | 713-697-6881
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Fax | 713-697-6025
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANNE NGUYEN
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Credential |
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Telephone | 713-697-6881
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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 | DC8582
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License Number State | TX
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