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General NPI Number Information
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NPI Number | 1578708962
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Entity Type | Organization
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Legal Business Name | CHIROPRACTORS OF PEARLAND
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Dates
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Enumeration Date | 12/13/2008
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Last Update Date | 12/13/2008
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Provider Practice Location Address
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Address Line | 3710 BROADWAY ST
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City | PEARLAND
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State | TX
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Zip | 77581-4204
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Country | US
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Telephone | 281-412-3800
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Fax | 281-412-3811
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Provider Business Mailing Address
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Address Line | PO BOX 657
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City | PEARLAND
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State | TX
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Zip | 77588-0657
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Country | US
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Telephone | 281-412-3800
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Fax | 281-412-3811
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEITH S TURNER
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Credential | DC
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Telephone | 281-412-3800
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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 | 6396
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License Number State | TX
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