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General NPI Number Information
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NPI Number | 1750302618
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Entity Type | Organization
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Legal Business Name | ACCIDENT & REHAB CENTER
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 3456 WEBB CHAPEL EXT
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City | DALLAS
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State | TX
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Zip | 75220-6751
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Country | US
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Telephone | 214-902-8868
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Fax | 214-902-9796
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Provider Business Mailing Address
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Address Line | 3456 WEBB CHAPEL EXT
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City | DALLAS
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State | TX
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Zip | 75220-6751
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Country | US
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Telephone | 214-902-8868
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Fax | 214-902-9796
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Authorized Official
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Title or Position | ASSOCIATE/CHIROPRACTOR
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Name | JOSE ALEX SOBERANIS
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Credential | D.C.
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Telephone | 214-902-8868
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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 | 9341
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License Number State | TX
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