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General NPI Number Information
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NPI Number | 1154418382
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC CARE CENTER
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2006 FRANKLIN ST SE SUITE 102
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4551
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Country | US
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Telephone | 256-534-3771
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Fax | 256-534-3722
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Provider Business Mailing Address
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Address Line | 2006 FRANKLIN ST SE SUITE 102
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4551
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Country | US
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Telephone | 256-534-3771
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Fax | 256-534-3722
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CLARICE M RAGLAND
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Credential |
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Telephone | 256-534-3771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | A0017
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License Number State | AL
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