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General NPI Number Information
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NPI Number | 1679670368
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Entity Type | Organization
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Legal Business Name | COIT CHIROPRACTIC & PHYSICAL THERAPY PA
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 07/31/2012
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Provider Practice Location Address
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Address Line | 5414 FOREST LN
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City | DALLAS
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State | TX
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Zip | 75244-8008
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Country | US
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Telephone | 972-503-2273
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Fax | 972-503-0336
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Provider Business Mailing Address
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Address Line | 5414 FOREST LN
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City | DALLAS
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State | TX
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Zip | 75244-8008
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Country | US
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Telephone | 972-503-2273
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Fax | 972-503-0336
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Authorized Official
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Title or Position | DC
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Name | DR. FARROKH SHARAFPOUR
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Credential | DC
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Telephone | 972-503-2273
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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 | 7222
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License Number State | TX
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