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General NPI Number Information
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NPI Number | 1477810661
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Entity Type | Organization
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Legal Business Name | CONRAD HEALTH CENTER PC
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 1817 ANDREWS AVE
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City | OZARK
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State | AL
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Zip | 36360-3729
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Country | US
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Telephone | 334-774-7576
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Fax |
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Provider Business Mailing Address
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Address Line | 1817 ANDREWS AVE
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City | OZARK
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State | AL
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Zip | 36360-3729
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALAN CONRAD
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Credential |
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Telephone | 334-774-7576
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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 | 1039
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License Number State | AL
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