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General NPI Number Information
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NPI Number | 1942604467
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Entity Type | Organization
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Legal Business Name | STONEBRIAR FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 1701 LEGACY DR SUITE 122
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City | FRISCO
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State | TX
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Zip | 75034-5987
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Country | US
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Telephone | 972-625-2201
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Fax | 844-273-5968
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Provider Business Mailing Address
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Address Line | 1701 LEGACY DR SUITE 122
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City | FRISCO
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State | TX
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Zip | 75034-5987
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Country | US
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Telephone | 972-625-2201
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Fax | 844-273-5968
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VAN QUOC LE
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Credential | D.C.
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Telephone | 972-625-2201
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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 | 9890
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License Number State | TX
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