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General NPI Number Information
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NPI Number | 1699396044
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Entity Type | Organization
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Legal Business Name | AWARE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 23221 RED RIVER DR
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City | KATY
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State | TX
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Zip | 77494-2031
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Country | US
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Telephone | 713-487-9755
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Fax | 346-388-3263
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Provider Business Mailing Address
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Address Line | 20927 WESTFIELD TERRACE TRL
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City | KATY
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State | TX
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Zip | 77449-2166
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Country | US
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Telephone | 727-204-8471
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Fax | 346-388-3263
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. CARMEN DANIELLE DOERR-NAUTH
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Credential | DC
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Telephone | 727-204-8471
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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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