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General NPI Number Information
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NPI Number | 1801121512
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Entity Type | Organization
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Legal Business Name | AUSTIN CHIROPRACTIC & ACUPUNCTURE CLINIC, PC
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 5750 BALCONES DR STE 108
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City | AUSTIN
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State | TX
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Zip | 78731-4268
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Country | US
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Telephone | 512-452-2525
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Fax | 512-452-2525
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Provider Business Mailing Address
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Address Line | 5750 BALCONES DR STE 108
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City | AUSTIN
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State | TX
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Zip | 78731-4268
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Country | US
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Telephone | 512-452-2525
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Fax | 512-452-0505
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUSTIN SWANSON
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Credential | D.C.
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Telephone | 512-452-2525
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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 | 10982
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License Number State | TX
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