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General NPI Number Information
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NPI Number | 1578061503
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Entity Type | Organization
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Legal Business Name | DR. CHRISTIAN QUIROZ CHIROPRACTIC CLINIC, INC.
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 01/24/2018
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Provider Practice Location Address
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Address Line | 1222 E ARAPAHO RD STE 330
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City | RICHARDSON
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State | TX
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Zip | 75081-2451
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Country | US
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Telephone | 469-620-2006
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Fax |
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Provider Business Mailing Address
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Address Line | 1222 E ARAPAHO RD STE 330
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City | RICHARDSON
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State | TX
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Zip | 75081-2451
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Country | US
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Telephone | 469-620-2006
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTIAN QUIROZ
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Credential | DC
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Telephone | 469-620-2006
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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 | 13584
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License Number State | TX
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