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General NPI Number Information
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NPI Number | 1760393995
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC SPINE MANAGEMENT CENTER, PLLC.
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 1110 COTTONWOOD LN STE 165
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City | IRVING
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State | TX
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Zip | 75038-6117
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Country | US
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Telephone | 469-978-9945
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Fax | 817-662-4838
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Provider Business Mailing Address
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Address Line | 2101 BRADLEY DR
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City | KELLER
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State | TX
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Zip | 76248-6868
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Country | US
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Telephone | 469-978-9945
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Fax | 817-662-4838
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Authorized Official
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Title or Position | OWNER
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Name | DEREK FARMEN
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Credential | DC
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Telephone | 469-978-9945
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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 |
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License Number State |
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