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General NPI Number Information
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NPI Number | 1659723732
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Entity Type | Individual
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Provider Name | RAQUEL GROGAN-WEBB D.C., MS
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Gender | Female
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 01/17/2021
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Provider Practice Location Address
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Address Line | 440 COBIA DR STE 1902
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City | KATY
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State | TX
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Zip | 77494-7139
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Country | US
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Telephone | 832-913-1085
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Fax |
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Provider Business Mailing Address
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Address Line | 440 COBIA DR STE 1902
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City | KATY
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State | TX
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Zip | 77494-7139
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Country | US
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Telephone | 832-913-1085
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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 | 154517
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2016022433
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number | 2016022433
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 154517
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License Number State | TX
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