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General NPI Number Information
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NPI Number | 1689486151
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Entity Type | Organization
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Legal Business Name | ESSENTIAL LIFE CHIROPRACTIC & WELLNESS
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 4412 SPICEWOOD SPRINGS RD STE 501
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City | AUSTIN
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State | TX
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Zip | 78759-8695
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Country | US
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Telephone | 512-399-3735
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Fax |
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Provider Business Mailing Address
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Address Line | 13350 WATER OAK LN STE B
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City | AUSTIN
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State | TX
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Zip | 78729-3763
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Country | US
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Telephone | 512-399-3735
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Fax |
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Authorized Official
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Title or Position | OWNER/ PRACTICIONER
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Name | DR. JAWANA JANAY SCOTT
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Credential | DC
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Telephone | 512-399-3735
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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 |
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License Number State |
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