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General NPI Number Information
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NPI Number | 1679601835
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Entity Type | Organization
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Legal Business Name | PRECURE CHIROPRACTIC CLINIC, P.C.
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 2001 EAST 10TH STREET
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City | ALAMOGORDO
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State | NM
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Zip | 88310-4904
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Country | US
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Telephone | 575-434-1455
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Fax | 575-443-1007
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Provider Business Mailing Address
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Address Line | 2001 EAST 10TH STREET
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City | ALAMOGORDO
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State | NM
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Zip | 88310-4904
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Country | US
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Telephone | 575-434-1455
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Fax | 575-443-1007
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. MICHAEL R PRECURE
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Credential | D.C.
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Telephone | 575-434-1455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 1632
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License Number State | NM
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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 | 1632
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License Number State | NM
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