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General NPI Number Information
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NPI Number | 1992956908
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Entity Type | Organization
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Legal Business Name | LUKE MOLITOR
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | 3317 MCKINNEY AVE STE - 208
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City | DALLAS
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State | TX
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Zip | 75204-2336
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Country | US
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Telephone | 469-449-4477
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Fax |
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Provider Business Mailing Address
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Address Line | 3317 MCKINNEY AVE STE - 208
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City | DALLAS
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State | TX
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Zip | 75204-2336
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Country | US
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Telephone | 469-449-4477
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN/OWNER
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Name | DR. LUKE JOHN-ALLEN MOLITOR
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Credential | DC
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Telephone | 469-449-4477
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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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