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General NPI Number Information
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NPI Number | 1346660487
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Entity Type | Organization
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Legal Business Name | DR DOCTOR DISC INJURY AND SPINAL CARE CLINIC PC
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 1117 7TH AVE W
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City | BIRMINGHAM
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State | AL
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Zip | 35204-3408
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Country | US
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Telephone | 844-223-3737
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Fax | 844-373-7329
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Provider Business Mailing Address
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Address Line | 1117 7TH AVE W
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City | BIRMINGHAM
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State | AL
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Zip | 35204-3408
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Country | US
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Telephone | 844-223-3737
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Fax | 844-373-7329
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Authorized Official
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Title or Position | CEO AND FOUNDER
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Name | DR. ZEBOYE ARCHELL DOCTOR
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Credential | DC
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Telephone | 904-250-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 2346
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License Number State | AL
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