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General NPI Number Information
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NPI Number | 1689895872
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Entity Type | Organization
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Legal Business Name | HILL COUNTRY CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 1742 FM 2673
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City | CANYON LAKE
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State | TX
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Zip | 78133-4743
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Country | US
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Telephone | 830-964-3032
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Fax | 830-964-4460
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Provider Business Mailing Address
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Address Line | PO BOX 1690
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City | CANYON LAKE
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State | TX
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Zip | 78133-0021
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Country | US
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Telephone | 830-964-3032
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Fax | 830-964-4460
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANDEE FABLING
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Credential |
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Telephone | 830-964-3032
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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 | 10498
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License Number State | TX
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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 | 4226
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License Number State | TX
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