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General NPI Number Information
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NPI Number | 1619236833
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Entity Type | Organization
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Legal Business Name | AMERICAN BACK INSTITUTE, LLC
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 3001 MCCLELLAN BLVD
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City | ANNISTON
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State | AL
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Zip | 36201-2724
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Country | US
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Telephone | 256-237-9423
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Fax | 256-406-0578
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Provider Business Mailing Address
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Address Line | PO BOX 1794
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City | ANNISTON
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State | AL
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Zip | 36202-1794
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Country | US
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Telephone | 256-237-9423
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Fax | 256-237-6007
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Authorized Official
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Title or Position | MEMBER
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Name | DR. DAVID E WADE
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Credential | DC
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Telephone | 256-310-0855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number |
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License Number State |
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