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General NPI Number Information
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NPI Number | 1740314848
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Entity Type | Organization
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Legal Business Name | BODIES IN BALANCE
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 4151 SW FWY SUITE 210
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City | HOUSTON
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State | TX
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Zip | 77027-7312
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Country | US
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Telephone | 713-395-6308
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Fax | 713-395-6307
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Provider Business Mailing Address
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Address Line | 4151 SW FWY SUITE 210
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City | HOUSTON
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State | TX
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Zip | 77027-7312
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Country | US
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Telephone | 713-395-6308
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Fax | 713-395-6307
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Authorized Official
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Title or Position | PROPRIETOR
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Name | QUOC THAI NGUYEN
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Credential | D.C.
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Telephone | 713-395-6308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 8166
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License Number State | TX
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