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NPI 1639954274

NPI 1639954274 : THE RECOVERY METHOD : SOUTHLAKE, TX

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General NPI Number Information
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    NPI Number           |    1639954274
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE RECOVERY METHOD 
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Dates
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    Enumeration Date     |    08/30/2023
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    Last Update Date     |    08/30/2023
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Provider Practice Location Address
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    Address Line         |    2813 W SOUTHLAKE BLVD STE 140 
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    City                 |    SOUTHLAKE
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    State                |    TX
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    Zip                  |    76092-6889
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    Country              |    US
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    Telephone            |    817-727-2849
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7300 TIMBERLANE DR 
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    City                 |    NORTH RICHLAND HILLS
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    State                |    TX
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    Zip                  |    76182-6030
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    Country              |    US
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    Telephone            |    817-734-3136
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/CHIROPRACTOR
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    Name                 |     CRYSTAL  HUDDLESTON 
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    Credential           |    DC
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    Telephone            |    817-727-2849
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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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