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General NPI Number Information
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NPI Number | 1568914919
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Entity Type | Organization
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Legal Business Name | SYNERGY CHIROPRACTIC & WELLNESS LLC
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 5151 KATY FWY #201
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City | HOUSTON
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State | TX
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Zip | 77007-2260
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Country | US
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Telephone | 713-426-2520
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Fax | 713-426-2266
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Provider Business Mailing Address
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Address Line | 5151 KATY FWY #201
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City | HOUSTON
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State | TX
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Zip | 77007-2260
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Country | US
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Telephone | 713-426-2520
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Fax | 713-426-2266
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM CHASE HAYDEN
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Credential | DC
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Telephone | 713-426-2520
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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 | 10996
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License Number State | TX
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