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General NPI Number Information
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NPI Number | 1821368655
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Entity Type | Organization
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Legal Business Name | ADVANCED INNOVATIVE MANAGEMENT SOLUTIONS, INC.
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 230 WESTCOTT ST SUITE 215
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City | HOUSTON
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State | TX
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Zip | 77007-7094
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Country | US
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Telephone | 713-880-4444
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Fax | 713-880-3886
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Provider Business Mailing Address
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Address Line | 230 WESTCOTT ST SUITE 215
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City | HOUSTON
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State | TX
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Zip | 77007-7094
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Country | US
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Telephone | 713-880-4444
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Fax | 713-880-3886
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PRINCETON JEFFERSON NGUYEN
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Credential | D.C.
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Telephone | 713-880-4444
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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 | 11941
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License Number State | TX
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