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General NPI Number Information
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NPI Number | 1518171495
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Entity Type | Organization
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Legal Business Name | BRYANT CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 24165 INTERSTATE HIGHWAY 10 WEST #106
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City | SAN ANTONIO
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State | TX
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Zip | 78257
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Country | US
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Telephone | 210-698-1700
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Fax | 210-698-3400
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Provider Business Mailing Address
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Address Line | 24165 INTERSTATE HIGHWAY 10 WEST #106
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City | SAN ANTONIO
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State | TX
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Zip | 78257
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Country | US
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Telephone | 210-698-1700
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Fax | 210-698-3400
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES T. BRYANT
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Credential | D.C.
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Telephone | 210-698-1700
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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 | 5416
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License Number State | TX
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