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General NPI Number Information
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NPI Number | 1649475757
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Entity Type | Organization
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Legal Business Name | BACK-N-LINE FAMILY CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 8210 BROADWAY ST
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City | SAN ANTONIO
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State | TX
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Zip | 78209-1920
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Country | US
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Telephone | 210-287-0050
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 39844
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City | SAN ANTONIO
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State | TX
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Zip | 78218-6844
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Country | US
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Telephone | 210-287-0050
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHERIE E SACHIEL-FLINT
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Credential | D.C.
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Telephone | 210-287-0050
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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 | DC 6763
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License Number State | TX
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