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General NPI Number Information
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NPI Number | 1710845284
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Entity Type | Organization
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Legal Business Name | WTX 1-SPINE CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 4425 W WADLEY AVE STE 200
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City | MIDLAND
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State | TX
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Zip | 79707-5332
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Country | US
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Telephone | 806-777-8896
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Fax |
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Provider Business Mailing Address
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Address Line | 5214 75TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-2520
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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 | OWNER
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Name | GREGORY MARIN
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Credential | DC
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Telephone | 806-777-8896
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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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