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General NPI Number Information
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NPI Number | 1962321885
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Entity Type | Organization
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Legal Business Name | PEAK HQ LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 10670 N CENTRAL EXPY STE 490
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City | DALLAS
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State | TX
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Zip | 75231-2101
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Country | US
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Telephone | 214-234-0000
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Fax | 214-702-5551
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Provider Business Mailing Address
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Address Line | 10670 N CENTRAL EXPY STE 490
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City | DALLAS
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State | TX
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Zip | 75231-2101
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Country | US
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Telephone | 214-234-0000
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Fax | 214-702-5551
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Authorized Official
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Title or Position | OWNER
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Name | DEMETRIS WILLIAM ELIA
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Credential | DC
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Telephone | 915-356-9102
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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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