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General NPI Number Information
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NPI Number | 1891099503
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Entity Type | Organization
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Legal Business Name | IN-LINE CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 12344 BARKER CYPRESS RD STE. 130
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City | CYPRESS
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State | TX
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Zip | 77429-8359
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Country | US
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Telephone | 281-894-5020
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Fax | 281-256-9706
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Provider Business Mailing Address
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Address Line | 12344 BARKER CYPRESS RD STE. 130
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City | CYPRESS
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State | TX
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Zip | 77429-8359
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Country | US
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Telephone | 281-894-5020
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Fax | 281-256-9706
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Authorized Official
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Title or Position | OWNER
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Name | LINDY JOHNSON
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Credential | D.C.
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Telephone | 281-894-5020
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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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