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General NPI Number Information
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NPI Number | 1912284464
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Entity Type | Organization
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Legal Business Name | SUNFLOWER WELLNESS ASSOCIATES PLLC
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Dates
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Enumeration Date | 11/11/2011
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Last Update Date | 01/26/2012
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Provider Practice Location Address
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Address Line | 3823 AIRPORT BLVD STE A
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City | AUSTIN
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State | TX
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Zip | 78722-1347
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Country | US
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Telephone | 512-743-6421
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Fax | 512-454-1793
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Provider Business Mailing Address
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Address Line | 3823 AIRPORT BLVD STE A
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City | AUSTIN
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State | TX
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Zip | 78722-1347
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Country | US
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Telephone | 512-743-6421
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Fax | 512-454-1793
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Authorized Official
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Title or Position | OWNER / PROVIDER
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Name | ROXANNE R SWENEY
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Credential | DC
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Telephone | 512-743-6421
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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 | 10524
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License Number State | TX
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