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General NPI Number Information
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NPI Number | 1013472943
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Entity Type | Organization
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Legal Business Name | SOKOL PARK CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 02/05/2019
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 5690 WATERMELON RD STE 300
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City | NORTHPORT
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State | AL
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Zip | 35473-5009
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Country | US
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Telephone | 205-409-6665
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Fax |
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Provider Business Mailing Address
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Address Line | 5690 WATERMELON RD STE 300
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City | NORTHPORT
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State | AL
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Zip | 35473-5009
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Country | US
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Telephone | 205-409-6665
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT KENNEDY
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Credential | DC
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Telephone | 205-409-6665
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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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