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General NPI Number Information
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NPI Number | 1861705808
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Entity Type | Organization
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Legal Business Name | SERENITY CHIROPRACTIC & FAMILY WELLNESS CENTER
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 2340 E TRINITY MILLS RD SUITE 225
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City | CARROLLTON
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State | TX
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Zip | 75006-1942
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Country | US
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Telephone | 469-231-1510
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Fax |
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Provider Business Mailing Address
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Address Line | 2340 E TRINITY MILLS RD SUITE 225
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City | CARROLLTON
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State | TX
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Zip | 75006-1942
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAMELA FORD
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Credential | D.C.
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Telephone | 469-231-1510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 11512
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License Number State | TX
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