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General NPI Number Information
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NPI Number | 1639305758
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Entity Type | Organization
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Legal Business Name | CHIROHEALTH & WELLNESS INC.
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 06/03/2009
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Provider Practice Location Address
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Address Line | 2407 W PARKWOOD AVE STE 111
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-8942
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Country | US
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Telephone | 281-996-1100
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Fax | 281-996-1623
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Provider Business Mailing Address
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Address Line | 2407 W PARKWOOD AVE STE 111
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-8942
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Country | US
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Telephone | 281-996-1100
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Fax | 281-996-1623
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL ROLAND PRIOUX
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Credential | D.C. , D.A.B.C.I.
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Telephone | 281-996-1100
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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 | 9088
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License Number State | TX
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