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General NPI Number Information
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NPI Number | 1114518982
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Entity Type | Organization
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Legal Business Name | BRUMFIELD CHIROPRACTIC INC
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 1080 RIVER OAKS DR STE B103
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City | FLOWOOD
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State | MS
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Zip | 39232-7602
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Country | US
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Telephone | 601-291-8362
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Fax | 601-586-8400
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Provider Business Mailing Address
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Address Line | 1080 RIVER OAKS DR STE B103
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City | FLOWOOD
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State | MS
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Zip | 39232-7602
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Country | US
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Telephone | 601-291-8362
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Fax | 601-586-8400
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANGELA DAWN REED
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Credential |
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Telephone | 662-295-7442
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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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