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General NPI Number Information
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NPI Number | 1154758209
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Entity Type | Individual
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Provider Name | MARGAUX BLAIR ALLEN D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 4761 BAYOU BLVD STE 6
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City | PENSACOLA
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State | FL
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Zip | 32503-2600
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Country | US
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Telephone | 850-476-1887
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Fax | 850-476-0709
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Provider Business Mailing Address
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Address Line | 546 19TH AVE NE
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City | SAINT PETERSBURG
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State | FL
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Zip | 33704-4614
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Country | US
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Telephone |
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Fax |
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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 | CH 10897
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License Number State | FL
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