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General NPI Number Information
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NPI Number | 1487673364
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Entity Type | Organization
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Legal Business Name | LOVING CARE CHIROPRACTIC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 2944 MOTLEY DR SUITE 314
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City | MESQUITE
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State | TX
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Zip | 75150-3460
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Country | US
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Telephone | 972-270-9200
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Fax | 972-270-9202
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Provider Business Mailing Address
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Address Line | 2944 MOTLEY DR SUITE 314
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City | MESQUITE
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State | TX
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Zip | 75150-3460
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Country | US
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Telephone | 972-270-9200
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Fax | 972-270-9202
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. BOBBIE JO POLASEK
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Credential | D.C.
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Telephone | 972-270-9200
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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 | DC9371
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License Number State | TX
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