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General NPI Number Information
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NPI Number | 1992452999
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Entity Type | Organization
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Legal Business Name | COMPASSION FAMILY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 401 N VALLEY PKWY STE 370
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City | LEWISVILLE
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State | TX
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Zip | 75067-3921
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Country | US
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Telephone | 954-303-8993
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Fax |
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Provider Business Mailing Address
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Address Line | 401 N VALLEY PKWY STE 370
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City | LEWISVILLE
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State | TX
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Zip | 75067-3921
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR OF CHIROPRACTIC
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Name | DR. DAVID RAVDIN
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Credential | DC
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Telephone | 954-303-8993
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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 |
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License Number State |
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