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General NPI Number Information
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NPI Number | 1932512860
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Entity Type | Organization
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Legal Business Name | CANADA CHIROPRACTIC. PLLC
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 18611 FM 529 RD
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City | CYPRESS
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State | TX
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Zip | 77433-1150
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Country | US
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Telephone | 832-409-4913
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Fax | 866-486-2916
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Provider Business Mailing Address
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Address Line | 8830 LONG POINT RD STE 504
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City | HOUSTON
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State | TX
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Zip | 77055-3040
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Country | US
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Telephone | 832-409-9940
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Fax | 866-486-2916
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | CHRISTOPHER D CANADA
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Credential | D.C.
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Telephone | 832-409-9940
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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 | 11947
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License Number State | TX
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