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General NPI Number Information
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NPI Number | 1932806114
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Entity Type | Organization
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Legal Business Name | ADVANCED NUTRITIONAL MEDICINE CENTER, LLC
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 13701 FM 3005 STE A
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City | GALVESTON
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State | TX
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Zip | 77554
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Country | US
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Telephone | 713-557-1013
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Fax | 888-225-2533
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Provider Business Mailing Address
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Address Line | 2521 BELUCHE DR
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City | GALVESTON
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State | TX
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Zip | 77551-1503
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Country | US
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Telephone | 713-557-1013
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Fax | 888-225-2533
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Authorized Official
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Title or Position | OWNER
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Name | MARK SCHULZ
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Credential | DC
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Telephone | 713-557-1013
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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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