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General NPI Number Information
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NPI Number | 1609318971
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Entity Type | Organization
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Legal Business Name | ANDERSEN CHIROPRACTIC OF BARTLETT, LLC
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Dates
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Enumeration Date | 11/17/2016
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 2919 ELMORE PARK RD STE 3
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City | BARTLETT
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State | TN
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Zip | 38134-8363
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Country | US
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Telephone | 901-623-3748
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Fax |
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Provider Business Mailing Address
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Address Line | 2919 ELMORE PARK RD #3
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City | BARTLETT
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State | TN
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Zip | 38134
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Country | US
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Telephone | 901-623-3748
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JEFFREY ANDERSEN
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Credential | DC
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Telephone | 901-623-3748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2981
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License Number State | TN
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