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General NPI Number Information
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NPI Number | 1598254237
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Entity Type | Individual
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Provider Name | MANH ANDREW-ANGUSTIA TRAN DC
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Gender | Male
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 2840 LEGACY DR STE 410
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City | FRISCO
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State | TX
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Zip | 75034-6057
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Country | US
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Telephone | 972-668-9200
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Fax | 972-668-9204
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Provider Business Mailing Address
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Address Line | 2817 GENEVA DR
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City | GARLAND
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State | TX
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Zip | 75040-4253
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Country | US
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Telephone | 214-236-7199
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Fax |
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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 | 13745
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License Number State | TX
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