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General NPI Number Information
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NPI Number | 1548321094
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Entity Type | Organization
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Legal Business Name | RABE CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 410 E LENNON DR STE D
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City | EMORY
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State | TX
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Zip | 75440-3243
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Country | US
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Telephone | 903-473-0133
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Fax | 903-473-0136
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Provider Business Mailing Address
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Address Line | PO BOX 505
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City | EMORY
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State | TX
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Zip | 75440-0505
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Country | US
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Telephone | 903-473-0133
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Fax | 903-473-0136
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. EDDY JASON RABE
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Credential | DC
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Telephone | 903-473-0133
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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 | 6749
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License Number State | TX
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