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General NPI Number Information
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NPI Number | 1023242153
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Entity Type | Organization
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Legal Business Name | HEALTH FIRST CHIROPRACTIC
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 3352 L AND N DR SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5301
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Country | US
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Telephone | 256-213-9922
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Fax | 256-213-9923
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Provider Business Mailing Address
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Address Line | 3352 L AND N DR SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5301
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Country | US
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Telephone | 256-213-9922
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Fax | 256-213-9923
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL DALE FRUENDT
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Credential | D.C.
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Telephone | 256-213-9922
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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 | 2008
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License Number State | AL
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