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General NPI Number Information
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NPI Number | 1932394608
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Entity Type | Organization
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Legal Business Name | ALLIANCE BACK & NECK CARE INC.
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 09/06/2007
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Provider Practice Location Address
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Address Line | 2401 WESTPORT PARKWAY STE. 1300
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City | FORT WORTH
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State | TX
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Zip | 76177-2926
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Country | US
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Telephone | 817-852-8400
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Fax | 817-428-4436
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Provider Business Mailing Address
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Address Line | 973 QUAIL RDG
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City | KELLER
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State | TX
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Zip | 76248-2926
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Country | US
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Telephone | 817-852-8400
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Fax | 817-428-4436
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY ALAN CONNORS
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Credential | D.C.
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Telephone | 817-852-8400
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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 |
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License Number State |
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