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General NPI Number Information
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NPI Number | 1467635029
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Entity Type | Organization
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Legal Business Name | BC CHIROPRACTIC PA
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 638 LONDONDERRY LN
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City | DENTON
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State | TX
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Zip | 76205-5379
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Country | US
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Telephone | 940-565-8118
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Fax | 940-387-3070
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Provider Business Mailing Address
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Address Line | 638 LONDONDERRY LN
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City | DENTON
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State | TX
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Zip | 76205-5379
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Country | US
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Telephone | 940-565-8118
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Fax | 940-387-3070
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Authorized Official
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Title or Position | CHIROPRACTOR OWNER
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Name | DR. CHRISTOPHER E BAILEY
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Credential | DC
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Telephone | 940-565-8118
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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 | F007694
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License Number State | TX
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