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General NPI Number Information
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NPI Number | 1497886295
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Entity Type | Organization
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Legal Business Name | BULLITT CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 7151 PRESTON RD SUITE 111A
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City | FRISCO
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State | TX
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Zip | 75034-5822
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Country | US
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Telephone | 214-387-4321
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Fax | 214-387-4320
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Provider Business Mailing Address
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Address Line | 7151 PRESTON RD SUITE 111A
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City | FRISCO
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State | TX
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Zip | 75034-5822
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Country | US
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Telephone | 214-387-4321
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Fax | 214-387-4320
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN ANTHONY BULLITT
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Credential | D.C.
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Telephone | 214-387-4321
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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 | 8602
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License Number State | TX
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