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General NPI Number Information
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NPI Number | 1720798382
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Entity Type | Organization
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Legal Business Name | COREFLEXX LLC
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 1201 N WATSON RD STE 145
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City | ARLINGTON
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State | TX
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Zip | 76006-6223
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Country | US
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Telephone | 682-270-0002
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Fax | 817-841-1088
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Provider Business Mailing Address
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Address Line | 1201 N WATSON RD STE 145
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City | ARLINGTON
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State | TX
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Zip | 76006-6223
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Country | US
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Telephone | 682-270-0002
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Fax | 817-841-1088
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Authorized Official
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Title or Position | MANAGER
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Name | TONYA YOUNGBLOOD
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Credential | DC
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Telephone | 469-408-7102
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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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