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General NPI Number Information
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NPI Number | 1528193513
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Entity Type | Organization
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Legal Business Name | ACHES INJURY CLINIC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 11169 BEECHNUT ST SUITE C
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City | HOUSTON
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State | TX
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Zip | 77072-4340
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Country | US
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Telephone | 832-328-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 11169 BEECHNUT ST SUITE C
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City | HOUSTON
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State | TX
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Zip | 77072-4340
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Country | US
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Telephone | 832-328-3200
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. LAN NGUYEN
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Credential | D.C.
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Telephone | 832-328-3200
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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 | DC 9635
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License Number State | TX
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