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General NPI Number Information
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NPI Number | 1902832322
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Entity Type | Individual
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Provider Name | KENNETH THOMAS REGNER D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 1145 HIGHWAY 6 S
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City | HOUSTON
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State | TX
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Zip | 77077-1021
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Country | US
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Telephone | 281-493-2535
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Fax | 281-493-1855
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Provider Business Mailing Address
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Address Line | 7830 W GRAND PKWY S STE 180
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City | RICHMOND
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State | TX
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Zip | 77406-5819
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Country | US
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Telephone | 832-222-2225
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Fax | 832-222-2199
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC6752
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License Number State | TX
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