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General NPI Number Information
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NPI Number | 1932479425
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Entity Type | Organization
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Legal Business Name | CHASE OAKS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 12/30/2011
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 305 W SPRING CREEK PKWY BLDG B, SUITE 104
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City | PLANO
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State | TX
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Zip | 75023-4626
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Country | US
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Telephone | 469-229-0134
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Fax | 469-467-9277
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Provider Business Mailing Address
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Address Line | 305 W SPRING CREEK PKWY BLDG B, SUITE 104
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City | PLANO
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State | TX
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Zip | 75023-4626
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Country | US
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Telephone | 469-229-0134
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Fax | 469-467-9277
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Authorized Official
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Title or Position | MANAGER
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Name | DR. HAROLD R ROYSTON II
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Credential | D.C.
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Telephone | 469-229-0134
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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 | 9821
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License Number State | TX
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