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General NPI Number Information
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NPI Number | 1396830360
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Entity Type | Organization
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Legal Business Name | GREMMELS CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 1705 CENTER POINT PKWY
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City | BIRMINGHAM
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State | AL
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Zip | 35215-5505
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Country | US
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Telephone | 205-854-3008
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Fax | 205-854-0242
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Provider Business Mailing Address
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Address Line | 1705 CENTER POINT PKWY
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City | BIRMINGHAM
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State | AL
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Zip | 35215-5505
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Country | US
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Telephone | 205-854-3008
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Fax | 205-854-0242
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN KENT GREMMELS
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Credential | D.C.
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Telephone | 205-854-3008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 989
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2152
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License Number State | AL
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