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General NPI Number Information
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NPI Number | 1356184410
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Entity Type | Organization
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Legal Business Name | CRIMSON CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 2302 MCFARLAND BLVD E
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City | TUSCALOOSA
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State | AL
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Zip | 35404-5802
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Country | US
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Telephone | 205-345-2009
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Fax | 205-345-2039
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Provider Business Mailing Address
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Address Line | 2302 MCFARLAND BLVD E
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City | TUSCALOOSA
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State | AL
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Zip | 35404-5802
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Country | US
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Telephone | 205-345-2009
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Fax | 205-345-2039
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL CRAIG FOWLER
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Credential | D.C
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Telephone | 205-345-2009
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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 |
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License Number State |
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