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General NPI Number Information
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NPI Number | 1912464082
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Entity Type | Individual
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Provider Name | ALEXIS MAIRE DOBSON D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 4419 FRONTIER TRL STE 106
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City | AUSTIN
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State | TX
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Zip | 78745-1567
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Country | US
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Telephone | 512-799-5535
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Fax | 512-445-7454
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Provider Business Mailing Address
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Address Line | 13201 ONION CREEK DR
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City | MANCHACA
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State | TX
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Zip | 78652-6809
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Country | US
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Telephone | 512-799-5535
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Fax | 512-445-7454
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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 | 9262
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License Number State | TX
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