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General NPI Number Information
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NPI Number | 1578081121
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Entity Type | Organization
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Legal Business Name | MITCHELL CHIROPRACTIC OF FRISCO, PLLC
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Dates
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Enumeration Date | 09/05/2017
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Last Update Date | 09/05/2017
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Provider Practice Location Address
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Address Line | 4645 WYNDHAM LN. STE. 290
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City | FRISCO
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State | TX
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Zip | 75033
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Country | US
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Telephone | 469-200-8002
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Fax |
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Provider Business Mailing Address
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Address Line | 4645 WYNDHAM LN. STE. 290
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City | FRISCO
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State | TN
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Zip | 75033
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR / OWNER
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Name | DR. NICHOLAS MITCHELL
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Credential |
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Telephone | 469-200-8002
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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 | 11950
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License Number State | TX
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