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General NPI Number Information
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NPI Number | 1447374384
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Entity Type | Organization
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Legal Business Name | ATENCIO CHIROPRACTIC PA
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Dates
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Enumeration Date | 03/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4228 N CENTRAL EXPY 104
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City | DALLAS
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State | TX
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Zip | 75206-6548
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Country | US
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Telephone | 214-520-5907
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Fax |
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Provider Business Mailing Address
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Address Line | 4228 N CENTRAL EXPY 104
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City | DALLAS
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State | TX
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Zip | 75206-6548
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Country | US
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Telephone | 214-520-5907
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KARL ATENCIO
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Credential | D.C.
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Telephone | 214-520-5907
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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 | 8334
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License Number State | TX
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