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General NPI Number Information
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NPI Number | 1164838207
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Entity Type | Organization
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Legal Business Name | PELHAM FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 2717 PELHAM PKWY
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City | PELHAM
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State | AL
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Zip | 35124-1704
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Country | US
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Telephone | 205-988-9420
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Fax | 205-733-9670
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Provider Business Mailing Address
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Address Line | 2717 PELHAM PKWY
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City | PELHAM
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State | AL
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Zip | 35124-1704
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Country | US
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Telephone | 205-988-9420
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Fax | 205-733-9670
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENISE A WHEELER
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Credential | D.C.
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Telephone | 205-988-9420
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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 | 1714
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License Number State | AL
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