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General NPI Number Information
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NPI Number | 1609438845
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC WEST, LLC
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 975 9TH AVE SW STE 230
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City | BESSEMER
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State | AL
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Zip | 35022-7839
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Country | US
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Telephone | 205-519-4201
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Fax | 205-519-4209
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Provider Business Mailing Address
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Address Line | 2009 BANEBERRY DR
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City | HOOVER
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State | AL
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Zip | 35244-6403
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Country | US
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Telephone | 205-821-2849
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Fax | 205-519-4209
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. LOWELL BRAGG
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Credential | DC
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Telephone | 205-821-2849
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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 |
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License Number State |
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