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General NPI Number Information
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NPI Number | 1043371933
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Entity Type | Organization
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Legal Business Name | LIMESTONE CHIROPRACTIC HEALTH CENTER P C
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 600 S CLINTON ST
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City | ATHENS
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State | AL
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Zip | 35611-3506
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Country | US
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Telephone | 256-233-7994
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Fax |
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Provider Business Mailing Address
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Address Line | 600 S CLINTON ST
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City | ATHENS
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State | AL
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Zip | 35611-3506
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Country | US
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Telephone | 256-233-7994
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Fax |
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Authorized Official
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Title or Position | DC
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Name | DR. NESTOR JAVIER PAGAN
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Credential | DC
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Telephone | 256-233-7994
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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 | 1954
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License Number State | AL
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