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General NPI Number Information
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NPI Number | 1417264201
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Entity Type | Organization
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Legal Business Name | HARLOW CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 3475 SPRINGHILL AVE
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City | MOBILE
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State | AL
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Zip | 36608-1522
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Country | US
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Telephone | 251-343-4242
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Fax | 251-343-4242
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Provider Business Mailing Address
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Address Line | 3475 SPRINGHILL AVE
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City | MOBILE
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State | AL
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Zip | 36608-1522
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Country | US
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Telephone | 251-343-4242
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Fax | 251-343-4242
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHANTEL SPRING HARLOW
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Credential | DC
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Telephone | 251-343-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 1964
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License Number State | AL
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