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General NPI Number Information
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NPI Number | 1598954620
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Entity Type | Organization
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Legal Business Name | KEY WELLNESS CENTER
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 1200 MCKINNEY ST #447
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City | HOUSTON
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State | TX
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Zip | 77010
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Country | US
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Telephone | 713-650-9355
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Fax | 713-650-9356
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Provider Business Mailing Address
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Address Line | 440 BENMAR DR #3400
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City | HOUSTON
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State | TX
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Zip | 77060
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Country | US
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Telephone | 832-448-7800
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Fax | 832-448-7801
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Authorized Official
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Title or Position | OWNER
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Name | MR. BART BUTLER KEY
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Credential | D.C.
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Telephone | 832-448-7800
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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 | DC6224
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License Number State | TX
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