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General NPI Number Information
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NPI Number | 1457860033
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Entity Type | Organization
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Legal Business Name | ALIGN YOUR SPINE CHIROPRACTIC
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Dates
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Enumeration Date | 09/26/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4107 BROWNS LN STE B
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City | LOUISVILLE
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State | KY
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Zip | 40220-1535
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Country | US
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Telephone | 502-434-7007
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Fax | 844-729-1988
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Provider Business Mailing Address
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Address Line | 4107 BROWNS LN STE B
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City | LOUISVILLE
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State | KY
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Zip | 40220-1535
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Country | US
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Telephone | 502-434-7007
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Fax | 844-729-1988
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Authorized Official
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Title or Position | ORGANIZER
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Name | MEGAN SOCHA
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Credential | DC
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Telephone | 502-434-7007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 5352
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License Number State | KY
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