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General NPI Number Information
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NPI Number | 1477747806
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Entity Type | Organization
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Legal Business Name | LONESTAR CHIROPRACTIC CLINICS INCORPORATED
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 4116 SUNSET DR
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City | SAN ANGELO
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State | TX
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Zip | 76904-5614
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Country | US
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Telephone | 325-223-5555
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Fax | 325-947-9482
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Provider Business Mailing Address
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Address Line | 4116 SUNSET DR
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City | SAN ANGELO
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State | TX
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Zip | 76904-5614
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Country | US
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Telephone | 325-223-5555
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Fax | 325-947-9482
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN W BROOKS
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Credential | D.C.
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Telephone | 325-223-5555
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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 | DC8433
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License Number State | TX
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