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General NPI Number Information
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NPI Number | 1912316449
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Entity Type | Organization
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Legal Business Name | ATLAS WELLNESS CHIROPRACTIC OF HOUSTON PLLC
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 08/13/2014
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Provider Practice Location Address
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Address Line | 1035 DAIRY ASHFORD RD STE 125
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City | HOUSTON
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State | TX
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Zip | 77079-4691
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Country | US
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Telephone | 832-981-7610
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 DAIRY ASHFORD RD STE 125
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City | HOUSTON
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State | TX
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Zip | 77079-4691
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Country | US
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Telephone | 832-981-7610
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN LARSON
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Credential | D.C.
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Telephone | 832-981-7610
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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 | 12506
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License Number State | TX
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