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General NPI Number Information
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NPI Number | 1851692412
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Entity Type | Organization
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Legal Business Name | JEB0321 PA
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Dates
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Enumeration Date | 11/12/2010
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 2851 CROSS TIMBERS RD STE 111
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2791
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Country | US
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Telephone | 214-215-8898
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Fax | 972-899-2425
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Provider Business Mailing Address
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Address Line | 2851 CROSS TIMBERS RD STE 111
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2791
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Country | US
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Telephone | 214-215-8898
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Fax | 972-899-2425
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. JAMES ELBERT BROWN
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Credential | D.C.
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Telephone | 972-899-2258
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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 | 10543
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License Number State | TX
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