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General NPI Number Information
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NPI Number | 1972368363
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Entity Type | Organization
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Legal Business Name | 180 WELLNESS PLLC
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 17754 PRESTON RD STE 100
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City | DALLAS
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State | TX
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Zip | 75252-5638
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Country | US
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Telephone | 214-773-1040
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Fax |
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Provider Business Mailing Address
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Address Line | 17754 PRESTON RD STE 100
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City | DALLAS
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State | TX
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Zip | 75252-5638
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Country | US
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Telephone | 214-773-1040
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | ADALIE SCHMIDT
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Credential | DC
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Telephone | 817-219-7808
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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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