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NPI 1457348997

NPI 1457348997 : PAUL MICHAEL RAYMOND D.C. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1457348997
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    Entity Type          |    Individual 
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    Provider Name        |    PAUL MICHAEL RAYMOND D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/30/2005
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    Last Update Date     |    06/07/2024
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Provider Practice Location Address
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    Address Line         |    11100 SOUTHWEST FWY 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77031
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    Country              |    US
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    Telephone            |    713-771-2225
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    Fax                  |    713-771-1876
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Provider Business Mailing Address
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    Address Line         |    11100 SOUTHWEST FWY 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77031-3602
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    Country              |    US
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    Telephone            |    713-771-2225
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    Fax                  |    713-771-1876
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111NX0100X
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    Taxonomy Name        |    Occupational Health Chiropractor
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    License Number       |    9196
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    9196
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    License Number State |    TX
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