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General NPI Number Information
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NPI Number | 1215421912
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Entity Type | Individual
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Provider Name | BRETT BOWEN FARR DC
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Gender | Male
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 700 QUINTARD AVE STE A
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City | ANNISTON
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State | AL
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Zip | 36201-5758
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Country | US
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Telephone | 256-231-0417
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Fax | 256-231-2495
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Provider Business Mailing Address
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Address Line | 65 CRESTVIEW ST
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City | HEFLIN
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State | AL
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Zip | 36264-1613
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Country | US
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Telephone | 256-201-1050
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Fax | 256-231-2495
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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 | 2574
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License Number State | AL
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