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General NPI Number Information
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NPI Number | 1861688723
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Entity Type | Organization
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Legal Business Name | MEXIA CHIROPRACTIC CLINIC, INC.
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 722 E COMMERCE ST
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City | MEXIA
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State | TX
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Zip | 76667-2957
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Country | US
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Telephone | 254-562-2112
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Fax | 254-562-5266
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Provider Business Mailing Address
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Address Line | 722 E COMMERCE ST
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City | MEXIA
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State | TX
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Zip | 76667-2957
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Country | US
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Telephone | 254-562-2112
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Fax | 254-562-5266
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. STANLEY D SEWELL
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Credential | D.O.
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Telephone | 254-562-2112
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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 | DC7383
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License Number State | TX
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