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General NPI Number Information
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NPI Number | 1134378359
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Entity Type | Organization
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Legal Business Name | ONE WAY OUT
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 1021 OXMOOR RD
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City | HOMEWOOD
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State | AL
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Zip | 35209-5317
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Country | US
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Telephone | 205-870-3911
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Fax | 205-879-3911
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Provider Business Mailing Address
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Address Line | 1021 OXMOOR RD
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City | HOMEWOOD
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State | AL
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Zip | 35209-5317
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Country | US
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Telephone | 205-870-3911
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Fax | 205-879-3911
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Authorized Official
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Title or Position | OWNER
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Name | TAYLOR FLANNAGAN
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Credential | DC
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Telephone | 205-870-3911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 2020
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License Number State | AL
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