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General NPI Number Information
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NPI Number | 1700664398
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Entity Type | Organization
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Legal Business Name | CAIM CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 09/16/2023
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Provider Practice Location Address
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Address Line | 5501 N LAMAR BLVD C111
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City | AUSTIN
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State | TX
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Zip | 78751-7874
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Country | US
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Telephone | 512-200-2077
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Fax |
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Provider Business Mailing Address
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Address Line | 9901 BRODIE LN SUITE 160 PMB909
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City | AUSTIN
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State | TX
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Zip | 78748
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Country | US
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Telephone | 512-200-2077
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. SHAINA NOLLEY
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Credential | DC, ACN, FMACP
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Telephone | 812-252-9280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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