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General NPI Number Information
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NPI Number | 1669020517
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Entity Type | Organization
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Legal Business Name | FAMILY TREE CHIROPRACTIC
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Dates
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Enumeration Date | 09/03/2019
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 9405 HUFFMEISTER RD STE 140
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City | HOUSTON
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State | TX
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Zip | 77095-2891
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Country | US
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Telephone | 956-500-2486
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Fax |
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Provider Business Mailing Address
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Address Line | 8524 HIGHWAY 6 N # 235
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City | HOUSTON
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State | TX
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Zip | 77095-2103
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Country | US
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Telephone | 956-500-2486
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIOPRACTIC
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Name | DR. JULIE ANN GONZALEZ
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Credential | DC
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Telephone | 956-500-2486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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