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General NPI Number Information
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NPI Number | 1811240963
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Entity Type | Organization
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Legal Business Name | BODY FIRST HEALTH THERAPY
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Dates
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Enumeration Date | 10/25/2012
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 2616 S LOOP W
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City | HOUSTON
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State | TX
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Zip | 77054-2662
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Country | US
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Telephone | 281-501-0525
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Fax | 713-808-9967
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Provider Business Mailing Address
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Address Line | 2616 S LOOP W
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City | HOUSTON
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State | TX
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Zip | 77054-2662
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Country | US
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Telephone | 281-501-0525
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Fax | 713-808-9967
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Authorized Official
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Title or Position | OWNER
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Name | MR. LONNIE BERNARD ALEXANDER
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Credential |
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Telephone | 832-419-4288
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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 | DC8823
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License Number State | TX
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