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General NPI Number Information
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NPI Number | 1114930799
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Entity Type | Organization
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Legal Business Name | ATHLETIC & FAMILY CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 900 SCHILINGER ROAD SOUTH
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City | MOBILE
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State | AL
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Zip | 36695
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Country | US
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Telephone | 251-776-6600
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Fax | 251-776-6611
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Provider Business Mailing Address
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Address Line | 312-T SCHILLINGER ROAD NORTH #188
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City | MOBILE
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State | AL
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Zip | 36608
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Country | US
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Telephone | 251-776-6600
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Fax | 251-776-6611
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT ASHTON STEWART
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Credential | D.C.
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Telephone | 251-776-6600
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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 | 2128
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License Number State | AL
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