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General NPI Number Information
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NPI Number | 1750576153
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Entity Type | Organization
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Legal Business Name | SACHSE CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 09/09/2007
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 5634 HIGHWAY 78 STE. 120
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City | SACHSE
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State | TX
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Zip | 75048-3773
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Country | US
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Telephone | 972-496-4200
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Fax | 972-496-4400
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Provider Business Mailing Address
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Address Line | 5634 HIGHWAY 78 STE. 120
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City | SACHSE
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State | TX
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Zip | 75048-3773
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Country | US
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Telephone | 972-496-4200
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Fax | 972-496-4400
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Authorized Official
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Title or Position | CHIROPRACTOR/PROPRIETOR
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Name | JAMES ROBERT KIESER II
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Credential | D.C.
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Telephone | 972-469-4200
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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 | 8576
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License Number State | TX
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