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General NPI Number Information
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NPI Number | 1962643510
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Entity Type | Organization
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Legal Business Name | WORK & ACCIDENT CLINIC, LLP
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Dates
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Enumeration Date | 03/11/2009
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 4924 GREENVILLE AVE
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City | DALLAS
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State | TX
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Zip | 75206
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Country | US
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Telephone | 214-922-8844
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Fax | 214-368-5656
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Provider Business Mailing Address
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Address Line | P.O. BOX 601389
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City | DALLAS
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State | TX
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Zip | 75360-1389
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Country | US
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Telephone | 214-922-8844
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Fax | 214-368-5656
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MR. DAVID E HERRMAN
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Credential |
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Telephone | 214-922-8844
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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 | DC8668
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License Number State | TX
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