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General NPI Number Information
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NPI Number | 1508454554
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Entity Type | Organization
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Legal Business Name | ALIGNED FAMILY WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 01/05/2021
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 620 CENTRAL AVE STE 2A-4
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City | HOT SPRINGS
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State | AR
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Zip | 71901-5300
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Country | US
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Telephone | 501-520-7772
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Fax | 501-441-6875
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Provider Business Mailing Address
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Address Line | PO BOX 394
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City | HOT SPRINGS NATIONAL PARK
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State | AR
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Zip | 71902-0394
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Country | US
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Telephone | 501-520-7772
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Fax | 501-441-6875
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANA GRENMAN
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Credential | DC
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Telephone | 501-617-0674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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