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General NPI Number Information
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NPI Number | 1750979415
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Entity Type | Individual
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Provider Name | JULIA ELLEN AUGUSTYNIAK DC
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Gender | Female
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 6851 VIRGINIA PKWY STE 212
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City | MCKINNEY
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State | TX
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Zip | 75071-5856
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Country | US
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Telephone | 734-308-2729
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 PAINTED LAKE CIR UNIT 305
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City | THE COLONY
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State | TX
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Zip | 75056-4367
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Country | US
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Telephone | 734-308-2729
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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 | 15003
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License Number State | TX
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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 | 2301011040
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License Number State | MI
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