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General NPI Number Information
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NPI Number | 1740202985
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Entity Type | Organization
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Legal Business Name | GLOBAL FAMILY CHIROPRACTIC TS
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 842 N. SUMMIT BLVD #13
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City | FRISCO
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State | CO
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Zip | 80443
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Country | US
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Telephone | 970-668-3233
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5296
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City | FRISCO
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State | CO
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Zip | 80443
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Country | US
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Telephone | 970-668-3233
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. TRACY L. SHATTO
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Credential | D.C.
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Telephone | 970-668-3233
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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 | 5864
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License Number State | CO
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