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General NPI Number Information
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NPI Number | 1568971737
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Entity Type | Organization
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Legal Business Name | BRIGHT FUTURES CHIROPRACTIC, INC
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 1780 W LAMAR ALEXANDER PKWY
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City | MARYVILLE
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State | TN
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Zip | 37801
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Country | US
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Telephone | 865-995-6208
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Fax |
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Provider Business Mailing Address
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Address Line | 1780 W LAMAR ALEXANDER PKWY
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City | MARYVILLE
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State | TN
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Zip | 37801-3784
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Country | US
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Telephone | 865-995-6208
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLYN ROSE FILLA
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Credential | DC
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Telephone | 865-995-6208
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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 | 3015
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License Number State | TN
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