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General NPI Number Information
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NPI Number | 1811622483
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Entity Type | Organization
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Legal Business Name | ATCHLEY CHIROPRACTIC CENTERS OF PROSPER LLC
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 120 S PRESTON RD STE 10
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City | PROSPER
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State | TX
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Zip | 75078-3067
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Country | US
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Telephone | 972-346-0066
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Fax |
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Provider Business Mailing Address
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Address Line | 120 S PRESTON RD STE 10
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City | PROSPER
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State | TX
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Zip | 75078-3067
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JON GOLDMAN
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Credential |
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Telephone | 702-544-2763
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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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