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General NPI Number Information
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NPI Number | 1982859153
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Entity Type | Organization
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Legal Business Name | ASSOCIATED CHIROPRACTIC PROFESSIONALS, P.A.
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 2829 ENCHANTED EVE DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-7811
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Country | US
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Telephone | 972-490-9888
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Fax | 972-490-9830
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Provider Business Mailing Address
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Address Line | 5353 ALPHA RD STE 110A
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City | DALLAS
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State | TX
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Zip | 75240-7340
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Country | US
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Telephone | 972-490-9888
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Fax | 972-490-9830
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONATHAN E WOODWARD
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Credential | D.C.
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Telephone | 972-490-9888
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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 | 8755
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License Number State | TX
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