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General NPI Number Information
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NPI Number | 1144743766
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Entity Type | Organization
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Legal Business Name | ANCHORED CHIROPRACTIC INC.
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 917 MCFARLAND BLVD
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City | NORTHPORT
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State | AL
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Zip | 35476-3373
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Country | US
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Telephone | 205-523-4651
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Fax | 205-377-7571
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Provider Business Mailing Address
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Address Line | 14300 BEVERLY DR
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City | FOSTERS
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State | AL
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Zip | 35463-9791
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Country | US
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Telephone | 205-454-7970
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BLAKE ANTHONY BAGGETT
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Credential | DC
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Telephone | 205-454-7970
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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 | 2538
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License Number State | AL
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