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General NPI Number Information
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NPI Number | 1639595226
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Entity Type | Organization
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Legal Business Name | FAIRFIELD CHIROPRACTIC
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Dates
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Enumeration Date | 03/06/2014
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 16341 MUESCHKE RD STE 200
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City | CYPRESS
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State | TX
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Zip | 77433-5218
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Country | US
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Telephone | 281-256-8100
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Fax | 281-256-8163
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Provider Business Mailing Address
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Address Line | 16341 MUESCHKE RD STE 200
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City | CYPRESS
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State | TX
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Zip | 77433-5218
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Country | US
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Telephone | 281-256-8100
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Fax | 281-256-8163
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL ANDREW WILLMON
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Credential | D.C.
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Telephone | 281-256-8100
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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 | 8272
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License Number State | TX
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