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General NPI Number Information
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NPI Number | 1437361441
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Entity Type | Organization
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Legal Business Name | CORNERSTONE CHIROPRACTIC INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 211 19TH ST S
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City | PELL CITY
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State | AL
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Zip | 35128-2007
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Country | US
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Telephone | 205-683-6332
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Fax | 866-910-2391
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Provider Business Mailing Address
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Address Line | 319 21ST ST N
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City | PELL CITY
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State | AL
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Zip | 35125-1725
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Country | US
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Telephone | 205-683-6332
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Fax | 866-910-2391
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BETH SPENCER RICE
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Credential |
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Telephone | 205-683-6332
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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 | 1584
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License Number State | AL
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