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General NPI Number Information
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NPI Number | 1992962575
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH MANAGEMENT INC
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 11/12/2014
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Provider Practice Location Address
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Address Line | 1470 GEORGE DIETER STE C
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City | EL PASO
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State | TX
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Zip | 79936-7631
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Country | US
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Telephone | 915-857-6607
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Fax | 915-857-7518
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Provider Business Mailing Address
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Address Line | 1470 GEORGE DIETER STE C
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City | EL PASO
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State | TX
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Zip | 79936-7631
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Country | US
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Telephone | 915-857-6607
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Fax | 915-857-7518
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRIS S CAMPBELL
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Credential | DC
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Telephone | 915-857-6607
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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 | DC4717
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License Number State | TX
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