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General NPI Number Information
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NPI Number | 1164890216
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Entity Type | Organization
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Legal Business Name | KING CHIROPRACTIC INC
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Dates
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Enumeration Date | 09/07/2015
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Last Update Date | 09/07/2015
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Provider Practice Location Address
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Address Line | 2900 ZELDA RD STE A
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City | MONTGOMERY
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State | AL
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Zip | 36106-2608
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Country | US
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Telephone | 334-395-5850
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4649
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-0022
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Country | US
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Telephone | 530-755-8329
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DENNS KING
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Credential |
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Telephone | 530-755-8329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2316
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License Number State | AL
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