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General NPI Number Information
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NPI Number | 1699089920
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Entity Type | Organization
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Legal Business Name | FAITHLAND CLINIC
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 1385 FM 359 RD 309
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City | RICHMOND
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State | TX
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Zip | 77406-2017
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Country | US
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Telephone | 832-475-0007
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Fax |
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Provider Business Mailing Address
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Address Line | 1385 FM 359 RD 309
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City | RICHMOND
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State | TX
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Zip | 77406-2017
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR
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Name | LINDA AINA
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Credential |
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Telephone | 832-475-0007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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