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General NPI Number Information
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NPI Number | 1558167601
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Entity Type | Individual
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Provider Name | COREY JAMES MCGREGOR DC
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Gender | Male
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 930 HILLTOP DR STE 102
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City | WEATHERFORD
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State | TX
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Zip | 76086-5943
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Country | US
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Telephone | 817-594-0281
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Fax | 817-598-1150
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Provider Business Mailing Address
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Address Line | 209 W INTERSTATE 20 APT 7101
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City | WEATHERFORD
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State | TX
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Zip | 76087-8314
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Country | US
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Telephone | 405-570-5971
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 16393
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License Number State | TX
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