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General NPI Number Information
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NPI Number | 1003167461
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Entity Type | Organization
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Legal Business Name | ANDERSON CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 09/26/2012
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Provider Practice Location Address
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Address Line | 215 W COLLEGE ST
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City | FLORENCE
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State | AL
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Zip | 35630-5568
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Country | US
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Telephone | 256-764-5493
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Fax | 256-764-5406
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Provider Business Mailing Address
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Address Line | 215 W COLLEGE ST
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City | FLORENCE
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State | AL
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Zip | 35630-5568
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Country | US
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Telephone | 256-764-5493
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Fax | 256-764-5406
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | MARCH BURTON ANDERSON
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Credential | DC
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Telephone | 256-764-5493
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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 | 1091
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License Number State | AL
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