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General NPI Number Information
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NPI Number | 1972812543
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Entity Type | Organization
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Legal Business Name | TINA BENNETT-BURTON
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 2700 VALLEY VIEW LN
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-4925
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Country | US
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Telephone | 214-272-9509
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Fax | 855-831-8205
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Provider Business Mailing Address
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Address Line | 2700 VALLEY VIEW LN
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-4925
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Country | US
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Telephone | 214-272-9509
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Fax | 855-831-8205
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Authorized Official
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Title or Position | OWNER
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Name | DR. TINA BENNETT-BURTON
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Credential | D.C
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Telephone | 214-718-7832
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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 | 10635
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License Number State | TX
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