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General NPI Number Information
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NPI Number | 1588876502
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Entity Type | Organization
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Legal Business Name | ESPANAS CHIROPRACTIC TREATMENT CENTER
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 04/22/2010
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Provider Practice Location Address
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Address Line | 1107 W JEFFERSON BLVD
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City | DALLAS
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State | TX
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Zip | 75208-5145
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Country | US
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Telephone | 214-942-4015
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Fax | 214-942-4980
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Provider Business Mailing Address
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Address Line | PO BOX 5226
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City | DALLAS
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State | TX
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Zip | 75208-9226
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Country | US
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Telephone | 214-942-4015
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Fax | 214-942-4980
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Authorized Official
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Title or Position | OWNER
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Name | PABLO ESPANA
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Credential | DC DABCO
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Telephone | 214-942-4015
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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 |
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License Number State |
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