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General NPI Number Information
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NPI Number | 1891962734
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Entity Type | Organization
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Legal Business Name | KELLER FAMILY CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 426 KELLER PKWY STE 500
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City | KELLER
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State | TX
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Zip | 76248-2358
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Country | US
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Telephone | 817-431-0507
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Fax |
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Provider Business Mailing Address
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Address Line | 426 KELLER PKWY STE 500
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City | KELLER
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State | TX
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Zip | 76248-2358
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Country | US
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Telephone | 817-431-0507
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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. HOWARD C GLANS
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Credential | D.C.
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Telephone | 817-431-0507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 7229
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License Number State | TX
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