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General NPI Number Information
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NPI Number | 1831434604
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Entity Type | Organization
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Legal Business Name | SANA WELLNESS AND HEALTH
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 2310 SW MILITARY DR SUITE 402
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1407
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Country | US
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Telephone | 210-927-2095
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Fax |
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Provider Business Mailing Address
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Address Line | 10303 BRIAR ROSE
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City | SAN ANTONIO
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State | TX
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Zip | 78254-5928
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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 | MANAGING MEMBER / CHIROPRACTOR
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Name | SUHAIL DARAISEH
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Credential | DC
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Telephone | 210-749-3608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 11782
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License Number State | TX
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