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General NPI Number Information
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NPI Number | 1538398763
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Entity Type | Organization
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Legal Business Name | ADVANCED CHIROPRACTIC & REHABILITATION
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 07/09/2009
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Provider Practice Location Address
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Address Line | 4002 JOHN STOCKBAUER DR SUITE A
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City | VICTORIA
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State | TX
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Zip | 77904-2452
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Country | US
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Telephone | 361-570-6600
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Fax | 361-570-6601
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Provider Business Mailing Address
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Address Line | 4002 JOHN STOCKBAUER DR SUITE A
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City | VICTORIA
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State | TX
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Zip | 77904-2452
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Country | US
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Telephone | 361-570-6600
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Fax | 361-570-6601
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Authorized Official
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Title or Position | OWNER
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Name | DR. CLAYTON F. FRANKE
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Credential | D.C.
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Telephone | 361-570-6600
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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 | 10976
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License Number State | TX
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