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General NPI Number Information
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NPI Number | 1487514055
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Entity Type | Individual
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Provider Name | ALISHA RUSS DC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 910 FOXGLOVE TRL
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City | FAIRVIEW
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State | TX
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Zip | 75069-6878
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Country | US
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Telephone | 727-742-7358
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Fax | 972-208-0419
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Provider Business Mailing Address
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Address Line | PO BOX 262181
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City | PLANO
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State | TX
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Zip | 75026-2181
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Country | US
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Telephone | 727-742-7358
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Fax | 972-208-0419
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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 | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 11831
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License Number State | TX
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