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General NPI Number Information
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NPI Number | 1770874208
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Entity Type | Organization
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Legal Business Name | INNER SUN CHIROPRACTIC PC
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 1211 W 6TH ST STE 800
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City | AUSTIN
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State | TX
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Zip | 78703-5220
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Country | US
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Telephone | 512-708-0905
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 W 6TH ST STE 800
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City | AUSTIN
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State | TX
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Zip | 78703-5220
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Country | US
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Telephone | 512-708-0905
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZACHARY BLOOM
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Credential | DC
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Telephone | 580-354-9009
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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 | 8206
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License Number State | TX
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