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General NPI Number Information
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NPI Number | 1497872618
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Entity Type | Organization
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Legal Business Name | DR. BEATRICE B. KILGUSS DC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 101 S LYNDALYN AVE
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City | DESOTO
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State | TX
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Zip | 75115-5709
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Country | US
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Telephone | 972-223-2433
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Fax | 972-223-7290
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Provider Business Mailing Address
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Address Line | 101 S LYNDALYN AVE
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City | DESOTO
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State | TX
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Zip | 75115-5709
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Country | US
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Telephone | 972-223-2433
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Fax | 972-223-7290
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Authorized Official
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Title or Position | OWNER
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Name | DR. BEATRICE BABULA KILGUSS
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Credential | D.C.
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Telephone | 972-223-2433
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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 | 6376
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License Number State | TX
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