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General NPI Number Information
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NPI Number | 1972610186
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Entity Type | Organization
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Legal Business Name | BELLAIRE CHIROPRACTIC INC
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 5403 BISSONNET ST # A
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City | HOUSTON
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State | TX
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Zip | 77081-6605
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Country | US
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Telephone | 713-664-4848
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Fax | 713-664-4873
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Provider Business Mailing Address
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Address Line | 5403 BISSONNET ST # A
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City | HOUSTON
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State | TX
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Zip | 77081-6605
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Country | US
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Telephone | 713-664-4848
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Fax | 713-664-4873
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DEAN CLEMENT GUIDA
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Credential | DC
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Telephone | 713-664-4848
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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 | 9338
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License Number State | TX
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