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General NPI Number Information
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NPI Number | 1831577022
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Entity Type | Organization
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Legal Business Name | MAGBAG WELLNESS AND REHAB
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Dates
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Enumeration Date | 05/08/2015
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 9720 JONES RD STE 250
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City | HOUSTON
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State | TX
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Zip | 77065-4772
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Country | US
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Telephone | 281-894-2880
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Fax | 281-894-2890
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Provider Business Mailing Address
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Address Line | 9720 JONES RD STE 250
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City | HOUSTON
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State | TX
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Zip | 77065-4772
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Country | US
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Telephone | 281-894-2880
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Fax | 281-894-2890
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Authorized Official
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Title or Position | OWNER
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Name | JOSE MAGBAG
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Credential | DC
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Telephone | 713-459-1894
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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 | 8367
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License Number State | TX
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