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General NPI Number Information
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NPI Number | 1740219492
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Entity Type | Organization
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Legal Business Name | YOUR FAMILY CHIROPRACTIC CARE P.A.
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 17920 HUFFMEISTER RD SUITE 210
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 281-256-0606
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Fax | 281-256-0659
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Provider Business Mailing Address
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Address Line | 17920 HUFFMEISTER RD SUITE 210
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City | CYPRESS
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State | TX
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Zip | 77429-3793
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Country | US
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Telephone | 281-256-0606
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Fax | 281-256-0659
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Authorized Official
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Title or Position | OWNER
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Name | WALTER HICKMAN
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Credential | DC
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Telephone | 281-256-0606
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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 | 10255
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License Number State | TX
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