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NPI 1598153389

NPI 1598153389 : CARLEY PEARCE D.C. : KELLER, TX

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General NPI Number Information
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    NPI Number           |    1598153389
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    Entity Type          |    Individual 
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    Provider Name        |    CARLEY PEARCE D.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/31/2014
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    Last Update Date     |    11/02/2015
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Provider Practice Location Address
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    Address Line         |    1834 KELLER PKWY SUITE 300
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    City                 |    KELLER
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    State                |    TX
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    Zip                  |    76248-3762
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    Country              |    US
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    Telephone            |    469-515-9051
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    Fax                  |    817-288-0605
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Provider Business Mailing Address
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    Address Line         |    1834 KELLER PKWY SUITE 300
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    City                 |    KELLER
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    State                |    TX
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    Zip                  |    76248-3762
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    Country              |    US
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    Telephone            |    469-515-9051
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    Fax                  |    817-288-0605
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    12379
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    License Number State |    TX
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