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General NPI Number Information
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NPI Number | 1740409978
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Entity Type | Organization
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Legal Business Name | TRINITY FAMILY CHIROPRACTIC PC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 7015 SNIDER PLZ STE 225
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City | DALLAS
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State | TX
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Zip | 75205-5642
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Country | US
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Telephone | 214-691-9355
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Fax | 214-691-9360
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Provider Business Mailing Address
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Address Line | 7015 SNIDER PLZ STE 225
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City | DALLAS
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State | TX
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Zip | 75205-5642
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Country | US
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Telephone | 214-691-9355
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Fax | 214-691-9360
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN WAYNE SMITH
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Credential | DC
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Telephone | 214-691-9355
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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 | 9374
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License Number State | TX
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