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General NPI Number Information
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NPI Number | 1851526206
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Entity Type | Organization
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Legal Business Name | LEONARD FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 08/21/2009
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Provider Practice Location Address
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Address Line | 100 EAST COLLIN ST
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City | LEONARD
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State | TX
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Zip | 75452
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Country | US
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Telephone | 903-587-2496
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Fax |
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Provider Business Mailing Address
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Address Line | 7900 HENNEMAN WAY STE 200
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City | MCKINNEY
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State | TX
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Zip | 75070-3125
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Country | US
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Telephone | 903-587-2496
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. TROY EDWARD ALLAM
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Credential | D.C.
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Telephone | 903-587-2496
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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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