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General NPI Number Information
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NPI Number | 1487128583
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Entity Type | Organization
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Legal Business Name | ATHLETIC ZONE LLC
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Dates
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Enumeration Date | 01/11/2019
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Last Update Date | 01/11/2019
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Provider Practice Location Address
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Address Line | 423 SINGLETON BLVD
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City | DALLAS
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State | TX
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Zip | 75212-4104
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Country | US
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Telephone | 909-908-8464
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Fax |
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Provider Business Mailing Address
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Address Line | 1777 N RECORD ST APT 1306
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City | DALLAS
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State | TX
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Zip | 75202-1258
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. ASHLEY FRANKLIN
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Credential | DC
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Telephone | 909-908-8464
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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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