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General NPI Number Information
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NPI Number | 1740388057
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Entity Type | Organization
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Legal Business Name | ALAMO HEIGHTS CHIROPRACTIC HEALTH CENTER
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7201 BROADWAY ST STE 200
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City | SAN ANTONIO
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State | TX
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Zip | 78209-3772
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Country | US
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Telephone | 210-828-9211
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Fax |
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Provider Business Mailing Address
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Address Line | 7201 BROADWAY ST STE 200
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City | SAN ANTONIO
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State | TX
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Zip | 78209-3772
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Country | US
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Telephone | 210-828-9211
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANDRA JEAN CARRELL
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Credential | D. C.
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Telephone | 210-828-9211
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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 | 4067
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License Number State | TX
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