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General NPI Number Information
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NPI Number | 1609820406
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Entity Type | Organization
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Legal Business Name | AVECINA HEALTH CARE INC.
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/02/2009
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Provider Practice Location Address
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Address Line | 1050 N WESTMORELAND RD STE 400
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City | DALLAS
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State | TX
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Zip | 75211-2444
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Country | US
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Telephone | 314-339-6161
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Fax | 214-339-6222
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Provider Business Mailing Address
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Address Line | 1050 N WESTMORELAND STE 400
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City | DALLAS
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State | TX
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Zip | 75211
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Country | US
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Telephone | 314-339-6161
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Fax | 214-339-6222
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ASGHAR BAHARANCHI
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Credential | DC FABS DAAPM
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Telephone | 214-339-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | 5062
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | 5062
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | C5062
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License Number State | TX
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