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NPI 1396650347

NPI 1396650347 : HALEY NICHOLE GODFREY DC : MC CALLA, AL

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General NPI Number Information
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    NPI Number           |    1396650347
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    Entity Type          |    Individual 
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    Provider Name        |    HALEY NICHOLE GODFREY DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/15/2026
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    Last Update Date     |    08/15/2026
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Provider Practice Location Address
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    Address Line         |    5610 FLETCHER RD 
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    City                 |    MC CALLA
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    State                |    AL
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    Zip                  |    35111-3252
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    Country              |    US
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    Telephone            |    816-550-6372
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5610 FLETCHER RD 
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    City                 |    MC CALLA
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    State                |    AL
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    Zip                  |    35111-3252
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    Country              |    US
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    Telephone            |    816-550-6372
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    Fax                  |    
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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       |    2934
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    License Number State |    AL
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