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General NPI Number Information
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NPI Number | 1417167271
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Entity Type | Individual
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Provider Name | JUSTIN WADE FOGO DC
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 04/28/2010
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Provider Practice Location Address
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Address Line | 398 CHESSER ROAD SUITE 2
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City | CHELSEA
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State | AL
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Zip | 35043
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Country | US
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Telephone | 205-678-1000
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Fax | 205-678-1001
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Provider Business Mailing Address
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Address Line | 398 CHESSER ROAD SUITE 2
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City | CHELSEA
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State | AL
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Zip | 35043
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Country | US
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Telephone | 205-678-1000
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Fax | 205-678-1001
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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 | 2069
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License Number State | AL
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