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General NPI Number Information
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NPI Number | 1700930971
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Entity Type | Individual
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Provider Name | JAMES TRACY BRYANT D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 24165 W IH 10 STE 106
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City | SAN ANTONIO
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State | TX
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Zip | 78257-1162
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Country | US
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Telephone | 210-698-1700
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Fax | 210-698-3400
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Provider Business Mailing Address
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Address Line | 4519 SHAVANO PEAK
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5838
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Country | US
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Telephone | 210-823-9200
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Fax | 210-823-9200
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5416
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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 | 814
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1146
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License Number State | AR
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