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General NPI Number Information
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NPI Number | 1609065986
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Entity Type | Individual
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Provider Name | ANGELA BROOKE COX D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 112 N LEE DR
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City | GLADEWATER
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State | TX
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Zip | 75647-2509
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Country | US
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Telephone | 903-374-2535
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 865
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City | GLADEWATER
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State | TX
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Zip | 75647-0865
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Country | US
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Telephone | 903-946-2150
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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 | 10744
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License Number State | TX
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