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General NPI Number Information
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NPI Number | 1598077315
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Entity Type | Organization
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Legal Business Name | ROSEWOOD CHIROPRACTIC, PC
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 2009 S CAPITAL OF TEXAS HWY STE 320
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City | AUSTIN
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State | TX
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Zip | 78746-7748
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Country | US
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Telephone | 512-371-1886
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Fax | 512-371-1665
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Provider Business Mailing Address
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Address Line | 2009 S CAPITAL OF TEXAS HWY STE 320
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City | AUSTIN
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State | TX
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Zip | 78746-7748
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Country | US
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Telephone | 512-371-1886
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Fax | 512-371-1665
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Authorized Official
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Title or Position | PRACTITIONER/OWNER
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Name | MICHELLE ANDRADE
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Credential |
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Telephone | 512-371-1886
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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 | 11423
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11195
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License Number State | TX
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