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General NPI Number Information
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NPI Number | 1750144101
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Entity Type | Individual
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Provider Name | CARRIE ROBERTS DC
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Gender | Female
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 20079 STONE OAK PKWY STE 3110
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7027
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Country | US
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Telephone | 210-939-4325
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Fax |
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Provider Business Mailing Address
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Address Line | 25500 TWO CREEKS APT 1205
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City | SAN ANTONIO
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State | TX
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Zip | 78255-2501
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Country | US
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Telephone | 817-368-8147
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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 | 15781
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License Number State | TX
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