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General NPI Number Information
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NPI Number | 1376720508
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Entity Type | Organization
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Legal Business Name | CORINTH CHIROPRACTIC HEALTH CENTER
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 109 ALCORN DR
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City | CORINTH
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State | MS
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Zip | 38834-7129
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Country | US
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Telephone | 662-287-8424
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2574
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City | CORINTH
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State | MS
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Zip | 38835-2574
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC ASST
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Name | ASHLEY TAYLOR
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Credential |
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Telephone | 662-287-8424
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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 | 0899
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License Number State | MS
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