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General NPI Number Information
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NPI Number | 1841282530
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Entity Type | Individual
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Provider Name | MICHAEL DWORACZYK ASHBY DC
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 2011 N COLLINS BLVD STE 707
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City | RICHARDSON
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State | TX
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Zip | 75080-2645
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Country | US
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Telephone | 972-414-8181
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Fax | 469-248-3414
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Provider Business Mailing Address
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Address Line | 1475 RICHARDSON DR STE 204
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City | RICHARDSON
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State | TX
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Zip | 75080-4605
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Country | US
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Telephone | 469-248-3378
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Fax | 469-248-3414
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC4405
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License Number State | TX
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