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General NPI Number Information
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NPI Number | 1740329481
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Entity Type | Organization
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Legal Business Name | UNIVERSITY CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 02/12/2009
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Provider Practice Location Address
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Address Line | 1111 W 24TH ST STE B
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City | AUSTIN
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State | TX
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Zip | 78705-4655
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Country | US
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Telephone | 512-480-8889
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Fax | 512-480-8899
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Provider Business Mailing Address
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Address Line | 1111 W 24TH ST STE B
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City | AUSTIN
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State | TX
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Zip | 78705-4655
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Country | US
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Telephone | 512-480-8889
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Fax | 512-480-8899
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN DARROW KANZ
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Credential | D.C.
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Telephone | 512-480-8889
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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 | 5046
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License Number State | TX
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