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General NPI Number Information
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NPI Number | 1467225128
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Entity Type | Organization
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Legal Business Name | ROBIN S LONG CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 11/03/2023
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 10611 GARLAND RD STE 115
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City | DALLAS
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State | TX
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Zip | 75218-2694
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Country | US
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Telephone | 469-269-5477
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Fax |
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Provider Business Mailing Address
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Address Line | 706 VALLEY MILLS DR
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City | WYLIE
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State | TX
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Zip | 75098-4772
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Country | US
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Telephone | 469-269-5477
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBIN STACY LONG
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Credential | DC
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Telephone | 661-244-7947
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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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