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General NPI Number Information
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NPI Number | 1922120039
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Entity Type | Organization
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Legal Business Name | DDP TRUST
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 607 B PARK GROVE DR
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 281-647-7703
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Fax | 281-647-7706
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Provider Business Mailing Address
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Address Line | 607 B PARK GROVE DR
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 281-647-7703
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Fax | 281-647-7706
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JOHN A. MARROW
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Credential | D.C.
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Telephone | 281-047-7703
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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 | 5715
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License Number State | TX
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