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General NPI Number Information
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NPI Number | 1922256932
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Entity Type | Organization
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Legal Business Name | ACCIDENT BENEFIT CLINICS LLC
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 5835 CALLAGHAN RD SUITE 209
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1125
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Country | US
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Telephone | 210-684-1600
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Fax | 210-684-1601
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Provider Business Mailing Address
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Address Line | 5835 CALLAGHAN RD SUITE 209
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1125
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Country | US
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Telephone | 210-684-1600
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Fax | 210-684-1601
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Authorized Official
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Title or Position | OWNER
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Name | MISS ANGELIFE PARDO
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Credential |
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Telephone | 210-684-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | F007340
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License Number State | TX
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