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General NPI Number Information
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NPI Number | 1891096459
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Entity Type | Organization
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Legal Business Name | BEE CAVE FAMILY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 11/12/2010
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 12117 BEE CAVES RD. BUILDING ONE, SUITE 202
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City | AUSTIN
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State | TX
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Zip | 78738-5390
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Country | US
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Telephone | 512-263-7500
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Fax | 512-852-4700
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Provider Business Mailing Address
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Address Line | 12117 BEE CAVES RD. BUILDING ONE, SUITE 202
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City | AUSTIN
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State | TX
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Zip | 78738-5390
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Country | US
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Telephone | 512-263-7500
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Fax | 512-852-4700
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Authorized Official
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Title or Position | OWNER, CHIROPRACTOR
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Name | DR. RHONDA L PARKER
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Credential | DC
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Telephone | 512-263-7500
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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 | 10404
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License Number State | TX
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