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General NPI Number Information
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NPI Number | 1861510935
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Entity Type | Organization
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Legal Business Name | CHIRO & ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 1000 TEXAN TRL SUITE 120
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City | GRAPEVINE
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State | TX
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Zip | 76051-3776
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Country | US
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Telephone | 817-329-6949
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Fax | 817-310-3058
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Provider Business Mailing Address
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Address Line | 1000 TEXAN TRL SUITE 120
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City | GRAPEVINE
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State | TX
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Zip | 76051-3776
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Country | US
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Telephone | 817-329-6949
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Fax | 817-310-3058
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | TAEHO LEE
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Credential | DC
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Telephone | 817-552-7246
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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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