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General NPI Number Information
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NPI Number | 1992218598
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Entity Type | Organization
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Legal Business Name | INNATE HEALTHCARE, PLLC
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 3447 RENNER RD STE 100B
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City | PLANO
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State | TX
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Zip | 75074-0051
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Country | US
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Telephone | 972-200-7090
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Fax | 972-736-7077
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Provider Business Mailing Address
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Address Line | 3447 RENNER RD APT 100B
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City | PLANO
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State | TX
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Zip | 75074-0051
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Country | US
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Telephone | 972-200-7090
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Fax | 972-736-7077
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRANDON MARSHALL BONDS
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Credential | DC
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Telephone | 972-838-8951
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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 | 8232
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License Number State | TX
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