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General NPI Number Information
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NPI Number | 1134197049
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Entity Type | Individual
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Provider Name | ANGELA FREE MCPHERSON D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 55 MOUSE CREEK RD NW
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City | CLEVELAND
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State | TN
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Zip | 37312-4840
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Country | US
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Telephone | 423-479-8989
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Fax | 423-478-8992
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Provider Business Mailing Address
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Address Line | PO BOX 3604
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City | CLEVELAND
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State | TN
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Zip | 37320-3604
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Country | US
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Telephone | 423-478-8989
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Fax | 423-478-8992
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC-1054
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License Number State | TN
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