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General NPI Number Information
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NPI Number | 1821712969
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Entity Type | Organization
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Legal Business Name | ALIGN CHIROPRACTIC AND WELLNESS
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 22015 IH 10 W STE 206
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City | SAN ANTONIO
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State | TX
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Zip | 78257-2104
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Country | US
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Telephone | 253-318-1091
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Fax |
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Provider Business Mailing Address
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Address Line | 211 PARKVIEW TER
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City | BOERNE
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State | TX
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Zip | 78006-2728
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Country | US
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Telephone | 253-318-1091
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STACY JAMES STADNIK
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Credential | DC
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Telephone | 210-774-4861
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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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