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General NPI Number Information
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NPI Number | 1588960843
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Entity Type | Organization
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Legal Business Name | JOHNS FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/04/2011
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 5499 BROKEN BOW DR
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City | BIRMINGHAM
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State | AL
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Zip | 35242-3278
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Country | US
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Telephone | 404-358-7195
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Fax |
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Provider Business Mailing Address
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Address Line | 5499 BROKEN BOW DR
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City | BIRMINGHAM
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State | AL
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Zip | 35242-3278
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Country | US
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Telephone | 404-358-7195
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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. ROBERT FREEMAN JOHNS JR.
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Credential | D.C.
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Telephone | 404-358-7195
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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 | 2323
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License Number State | AL
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