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General NPI Number Information
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NPI Number | 1598286031
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Entity Type | Organization
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Legal Business Name | AMMON ZUKERAN DC INC
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 07/06/2017
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Provider Practice Location Address
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Address Line | 416 PARK GROVE LN
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 281-994-9020
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Fax | 281-994-9022
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Provider Business Mailing Address
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Address Line | 416 PARK GROVE LN
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 281-994-9020
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Fax | 281-994-9022
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AMMON ZUKERAN
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Credential | D.C.
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Telephone | 281-994-9020
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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 | 13067
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License Number State | TX
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