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General NPI Number Information
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NPI Number | 1851589501
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC & REHAB CENTRE OF HOUSTON AND ASSOCIATES PA
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 5713 BISSONNET ST STE C
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City | BELLAIRE
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State | TX
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Zip | 77401-4729
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Country | US
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Telephone | 713-664-0110
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Fax |
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Provider Business Mailing Address
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Address Line | 5713 BISSONNET ST STE C
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City | BELLAIRE
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State | TX
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Zip | 77401-4729
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Country | US
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Telephone | 713-664-0110
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HONG DIEM NGUYEN
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Credential | DC
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Telephone | 713-664-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC 9323
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License Number State | TX
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