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General NPI Number Information
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NPI Number | 1508083395
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Entity Type | Organization
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Legal Business Name | SOUTHWEST NATURAL HEALTH CARE, L.L.C.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/15/2011
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Provider Practice Location Address
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Address Line | 1833 W PIONEER PKWY
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City | ARLINGTON
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State | TX
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Zip | 76013-6106
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Country | US
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Telephone | 817-461-6374
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Fax | 817-461-8550
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Provider Business Mailing Address
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Address Line | 1833 W PIONEER PKWY
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City | ARLINGTON
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State | TX
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Zip | 76013-6106
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Country | US
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Telephone | 817-461-6374
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Fax | 817-461-8550
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BETTY HENSON
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Credential |
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Telephone | 817-461-6374
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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 | 10353
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1079499
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8215
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License Number State | TX
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