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NPI 1902923311

NPI 1902923311 : WARE CHIROPRACTIC CLINIC : RICHARDSON, TX

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General NPI Number Information
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    NPI Number           |    1902923311
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    Entity Type          |    Organization 
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    Legal Business Name  |    WARE CHIROPRACTIC CLINIC 
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Dates
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    Enumeration Date     |    03/23/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    2129 BUCKINGHAM RD 
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75081-5477
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    Country              |    US
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    Telephone            |    972-437-6373
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    Fax                  |    972-437-6396
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Provider Business Mailing Address
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    Address Line         |    2129 BUCKINGHAM RD 
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75081-5477
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    Country              |    US
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    Telephone            |    972-437-6373
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    Fax                  |    972-437-6396
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JOHN SCOTT WARE 
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    Credential           |    B.S, M.A.,D.C.
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    Telephone            |    972-437-6373
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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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