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General NPI Number Information
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NPI Number | 1093081382
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL CARE CHIROPRACTIC
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 5351 OLD KENTUCKY RD
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City | RUSSELLVILLE
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State | TN
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Zip | 37860-0179
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Country | US
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Telephone | 423-587-0044
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Fax | 423-586-5844
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Provider Business Mailing Address
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Address Line | P.O. BOX 179 5620 EAST ANDREW JOHNSON HIGHWAY
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City | RUSSELLVILLE
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State | TN
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Zip | 37860-0179
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Country | US
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Telephone | 423-587-0044
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Fax | 423-586-5844
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | MRS. TERRI ANN MARIA STYLES
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Credential | DC
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Telephone | 423-587-0044
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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 | 2271
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License Number State |
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Taxonomy #2
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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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