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General NPI Number Information
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NPI Number | 1952586539
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Entity Type | Organization
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Legal Business Name | CHIRO MED, INC
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 836 N ZANG BLVD SUITE 200
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City | DALLAS
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State | TX
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Zip | 75208-4251
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Country | US
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Telephone | 214-943-7100
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Fax | 214-943-3514
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Provider Business Mailing Address
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Address Line | 836 N ZANG BLVD SUITE 200
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City | DALLAS
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State | TX
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Zip | 75208-4251
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Country | US
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Telephone | 214-943-7100
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Fax | 214-943-3514
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. GHADA KOUDSI
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Credential | D.C.
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Telephone | 214-532-4505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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