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General NPI Number Information
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NPI Number | 1528269545
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Entity Type | Organization
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Legal Business Name | ACTIVE REHAB INC.
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3000 MEADOW LAKE DR SUITE 101
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City | BIRMINGHAM
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State | AL
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Zip | 35242-0301
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Country | US
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Telephone | 205-408-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 MEADOW LAKE DR SUITE 101
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City | BIRMINGHAM
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State | AL
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Zip | 35242-0301
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Country | US
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Telephone | 205-408-4400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER H STEWART
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Credential | D.C.
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Telephone | 205-408-4400
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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 | 1590
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License Number State | AL
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