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General NPI Number Information
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NPI Number | 1528245891
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Entity Type | Organization
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Legal Business Name | ROBERT WETZ CHIROPRACTIC CLINIC PA
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 1583 THOUSAND OAKS DR SUITE # 127
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City | SAN ANTONIO
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State | TX
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Zip | 78232-2294
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Country | US
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Telephone | 210-545-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 1583 THOUSAND OAKS DR SUITE # 127
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City | SAN ANTONIO
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State | TX
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Zip | 78232-2294
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Country | US
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Telephone | 210-545-2225
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DEBRA WETZ
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Credential |
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Telephone | 210-545-2225
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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 | DC6130
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License Number State | TX
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