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General NPI Number Information
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NPI Number | 1598640880
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Entity Type | Organization
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Legal Business Name | WILSON & SIBERT CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 133 W WATER ST
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City | KERRVILLE
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State | TX
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Zip | 78028-5243
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Country | US
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Telephone | 830-896-2273
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Fax | 830-896-2673
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Provider Business Mailing Address
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Address Line | PO BOX 291077
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City | KERRVILLE
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State | TX
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Zip | 78029-1077
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Country | US
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Telephone | 830-896-2273
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Fax | 830-896-2275
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CAREY SEGREST
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Credential |
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Telephone | 830-896-2273
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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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