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General NPI Number Information
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NPI Number | 1710182522
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Entity Type | Organization
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Legal Business Name | ZYGMONT CHIROPRACTIC CENTER, P.C.
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 4006 S LAMAR BLVD STE 650
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City | AUSTIN
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State | TX
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Zip | 78704-7993
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Country | US
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Telephone | 512-442-7400
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Fax | 512-442-7405
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Provider Business Mailing Address
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Address Line | 4036 S LAMAR BLVD STE 600
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City | AUSTIN
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State | TX
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Zip | 78704-7992
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Country | US
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Telephone | 512-442-7400
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Fax | 512-442-7408
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Authorized Official
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Title or Position | OWNER
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Name | MS. COLETTE Y ZYGMONT
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Credential | D.C.
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Telephone | 512-442-7400
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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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