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General NPI Number Information
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NPI Number | 1750467353
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Entity Type | Individual
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Provider Name | EDWARD RAE KAEMMERLING D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 5819 HIGHWAY 6 SUITE 250
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4052
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Country | US
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Telephone | 281-208-8880
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Fax | 281-208-3032
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Provider Business Mailing Address
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Address Line | 12926 DAIRY ASHFORD RD STE 182
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City | SUGAR LAND
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State | TX
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Zip | 77478-4582
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Country | US
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Telephone | 281-650-6019
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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 | 9418
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License Number State | TX
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