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General NPI Number Information
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NPI Number | 1720883960
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Entity Type | Organization
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Legal Business Name | ATLETICA CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 707 TEXAS AVE S # 202D
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City | COLLEGE STATION
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State | TX
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Zip | 77840-1967
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Country | US
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Telephone | 979-431-8567
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Fax |
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Provider Business Mailing Address
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Address Line | 1407 SAN JACINTO LN
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City | BRYAN
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State | TX
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Zip | 77803-2654
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Country | US
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Telephone | 979-431-8567
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. ANGIE ABLEEN REALEGENO-ARELLANO
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Credential | DC
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Telephone | 979-431-8567
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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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