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General NPI Number Information
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NPI Number | 1912025644
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Entity Type | Individual
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Provider Name | JOHN M DEVORE DC
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 02/27/2009
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Provider Practice Location Address
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Address Line | 4610 ELDORADO PKWY
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City | MCKINNEY
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State | TX
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Zip | 75070-4434
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Country | US
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Telephone | 972-548-3990
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Fax | 972-548-3991
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Provider Business Mailing Address
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Address Line | 2001 CENTRAL CIR STE 100
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City | MCKINNEY
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State | TX
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Zip | 75069-8230
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Country | US
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Telephone | 972-548-3990
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Fax | 972-548-3991
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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 | 9063
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License Number State | TX
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