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General NPI Number Information
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NPI Number | 1740875152
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Entity Type | Individual
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Provider Name | SYMONE HOPE FONTENOT DC
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Gender | Female
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Dates
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Enumeration Date | 03/08/2021
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 9855 EAGLE DR STE 130
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City | MONT BELVIEU
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State | TX
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Zip | 77523-7016
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Country | US
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Telephone | 281-576-8996
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Fax | 281-576-7224
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Provider Business Mailing Address
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Address Line | 1901 BAYOU HOMES DR
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City | GALVESTON
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State | TX
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Zip | 77551-1338
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Country | US
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Telephone | 337-277-9528
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2008
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License Number State | LA
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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 | 14711
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License Number State | TX
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