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General NPI Number Information
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NPI Number | 1740503887
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Entity Type | Organization
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Legal Business Name | UNION TREATMENT CENTERS
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 2206 E CENTRAL TEXAS EXPY
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City | KILLEEN
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State | TX
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Zip | 76543-5315
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Country | US
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Telephone | 512-323-6900
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Fax | 512-323-6903
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Provider Business Mailing Address
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Address Line | 2206 E CENTRAL TEXAS EXPY
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City | KILLEEN
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State | TX
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Zip | 76543-5315
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Country | US
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Telephone | 512-323-6900
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Fax | 512-323-6903
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Authorized Official
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Title or Position | DIRECTOR RCM DIVISION
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Name | NATHALIE BLACKSTOCK
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Credential |
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Telephone | 512-323-6900
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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 | DC7355
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | H2243
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License Number State | TX
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