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General NPI Number Information
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NPI Number | 1548180003
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Entity Type | Organization
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Legal Business Name | FLOWER MOUND CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 5810 LONG PRAIRIE RD STE 300
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2587
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Country | US
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Telephone | 972-539-2323
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Fax | 972-539-7930
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Provider Business Mailing Address
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Address Line | 5810 LONG PRAIRIE RD STE 300
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2587
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Country | US
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Telephone | 972-539-2323
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Fax | 972-539-7930
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | NICK PONOMARENKO
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Credential |
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Telephone | 785-341-1847
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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 |
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License Number State |
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