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General NPI Number Information
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NPI Number | 1821215211
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Entity Type | Organization
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Legal Business Name | FRISCO CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 8200 STONEBROOK PKWY SUITE 210
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City | FRISCO
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State | TX
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Zip | 75034-5539
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Country | US
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Telephone | 972-335-9733
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Fax | 972-377-3723
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Provider Business Mailing Address
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Address Line | 8200 STONEBROOK PKWY SUITE 210
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City | FRISCO
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State | TX
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Zip | 75034-5539
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Country | US
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Telephone | 972-335-9733
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Fax | 972-377-3723
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FLINT LEE LOUGHRIDGE
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Credential | D.C.
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Telephone | 972-335-9733
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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 | 4096
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License Number State | TX
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