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General NPI Number Information
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NPI Number | 1932340809
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Entity Type | Organization
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Legal Business Name | RONALD DE JONG DC PC
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 2817 S MAYHILL RD STE. 100
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City | DENTON
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State | TX
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Zip | 76208-5966
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Country | US
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Telephone | 940-387-0474
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Fax | 940-387-0547
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Provider Business Mailing Address
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Address Line | 6841 VIRGINIA PKWY STE. 103, #356
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City | MCKINNEY
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State | TX
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Zip | 75071-5710
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Country | US
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Telephone | 940-387-0474
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Fax | 940-387-0547
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | MR. RONALD DUANE DEJONG
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Credential | DC
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Telephone | 940-387-0474
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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 | 6980
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License Number State | TX
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