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General NPI Number Information
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NPI Number | 1477550333
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Entity Type | Individual
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Provider Name | GEORGE CHRISTOPHER PENROD D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8000 S GESSNER DR STE 100
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City | HOUSTON
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State | TX
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Zip | 77036-7438
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Country | US
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Telephone | 713-774-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 12410 MILL RIDGE DR
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City | CYPRESS
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State | TX
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Zip | 77429-4702
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Country | US
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Telephone | 281-970-4659
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8419
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License Number State | TX
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