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General NPI Number Information
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NPI Number | 1568558575
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Entity Type | Organization
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Legal Business Name | ROCKET CITY CHIROPRACTIC INC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 2417 JORDAN LANE
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City | HUNTSVILLE
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State | AL
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Zip | 35816-1009
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Country | US
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Telephone | 256-721-9696
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Fax | 256-837-1206
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Provider Business Mailing Address
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Address Line | 2417 JORDAN LANE
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City | HUNTSVILLE
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State | AL
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Zip | 35816-1009
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Country | US
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Telephone | 256-721-9696
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Fax | 256-837-1206
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JAMES K OLSZEWSKI
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Credential | DC
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Telephone | 256-721-9696
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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 | 1832
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2225
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License Number State | AL
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