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General NPI Number Information
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NPI Number | 1649672403
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Entity Type | Individual
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Provider Name | JONATHAN ALLEN TODD D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 09/06/2019
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Provider Practice Location Address
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Address Line | 11465 TOPPERWEIN RD
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City | SAN ANTONIO
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State | TX
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Zip | 78233
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Country | US
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Telephone | 210-599-9570
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Fax | 210-599-9572
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Provider Business Mailing Address
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Address Line | 5207 GORDON COOPER DR
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City | KIRBY
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State | TX
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Zip | 78219-2042
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Country | US
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Telephone | 214-799-6029
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 12745
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License Number State | TX
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