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General NPI Number Information
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NPI Number | 1609564053
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Entity Type | Organization
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Legal Business Name | BINGLE CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 8561 LONG POINT RD STE 103
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City | HOUSTON
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State | TX
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Zip | 77055-2397
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Country | US
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Telephone | 713-465-2422
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Fax | 713-465-5018
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Provider Business Mailing Address
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Address Line | 8561 LONG POINT RD STE 103
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City | HOUSTON
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State | TX
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Zip | 77055-2397
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Country | US
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Telephone | 713-465-2422
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Fax | 713-465-5018
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Authorized Official
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Title or Position | OWNER
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Name | DR. REZA DONESH
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Credential | DC
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Telephone | 713-397-2491
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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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