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NPI 1629251764

NPI 1629251764 : WILLIAM C. BRAUDT PA : CANYON, TX

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General NPI Number Information
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    NPI Number           |    1629251764
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    Entity Type          |    Organization 
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    Legal Business Name  |    WILLIAM C. BRAUDT PA 
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Dates
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    Enumeration Date     |    12/12/2007
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    Last Update Date     |    06/23/2025
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Provider Practice Location Address
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    Address Line         |    10140 W US HIGHWAY 60 
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    City                 |    CANYON
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    State                |    TX
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    Zip                  |    79015-5708
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    Country              |    US
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    Telephone            |    806-452-7575
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    Fax                  |    806-705-8954
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Provider Business Mailing Address
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    Address Line         |    10140 W US HIGHWAY 60 
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    City                 |    CANYON
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    State                |    TX
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    Zip                  |    79015-5708
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    Country              |    US
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    Telephone            |    806-452-7575
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    Fax                  |    806-705-8964
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. WILLIAM CURTIS BRAUDT 
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    Credential           |    D.C.
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    Telephone            |    806-452-7575
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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       |    8561
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    License Number State |    TX
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