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General NPI Number Information
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NPI Number | 1124847850
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Entity Type | Organization
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Legal Business Name | BACK2HEALTH CHIROPRACTIC TN LLC
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 8301 DAYTON PIKE
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City | SODDY DAISY
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State | TN
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Zip | 37379-4202
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Country | US
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Telephone | 423-842-2828
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Fax | 423-842-1688
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Provider Business Mailing Address
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Address Line | 8301 DAYTON PIKE
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City | SODDY DAISY
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State | TN
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Zip | 37379-4202
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Country | US
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Telephone | 423-842-2828
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MELISSA JONES
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Credential |
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Telephone | 423-842-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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