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General NPI Number Information
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NPI Number | 1982313540
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Entity Type | Individual
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Provider Name | DYLAN RENKEN DC
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Gender | Male
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 21212 KUYKENDAHL RD
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City | SPRING
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State | TX
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Zip | 77379-2605
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Country | US
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Telephone | 832-558-8979
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Fax |
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Provider Business Mailing Address
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Address Line | 19939 CHASEWOOD PARK DR APT 3304
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City | HOUSTON
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State | TX
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Zip | 77070-1594
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Country | US
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Telephone | 217-414-9405
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 165663
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License Number State | TX
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