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General NPI Number Information
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NPI Number | 1679296321
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Entity Type | Individual
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Provider Name | ALEXIS RUGER BARRETT DC
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Gender | Female
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 2824 TERRELL RD STE 204
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City | GREENVILLE
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State | TX
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Zip | 75402-5568
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Country | US
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Telephone | 903-455-1073
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Fax |
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Provider Business Mailing Address
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Address Line | 500 MORNING DEW LN
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City | PRINCETON
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State | TX
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Zip | 75407-2932
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Country | US
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Telephone | 214-250-6005
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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 | 15306
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License Number State | TX
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