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General NPI Number Information
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NPI Number | 1679029862
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Entity Type | Organization
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Legal Business Name | TWO HANDS CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 1602 E RIVERSIDE DR
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City | AUSTIN
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State | TX
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Zip | 78741-1006
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Country | US
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Telephone | 512-710-8493
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Fax |
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Provider Business Mailing Address
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Address Line | 1602 E RIVERSIDE DR
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City | AUSTIN
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State | TX
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Zip | 78741-1006
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Country | US
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Telephone |
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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 | DR. JANRAI R GRAVELY
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Credential | D.C.
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Telephone | 214-215-4364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 13225
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License Number State | TX
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