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General NPI Number Information
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NPI Number | 1629134523
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Entity Type | Organization
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Legal Business Name | ATHENS CHIROPRACTIC PC
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 129 US HIGHWAY 31 S
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City | ATHENS
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State | AL
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Zip | 35611-2825
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Country | US
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Telephone | 256-233-7776
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Fax | 256-233-7688
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Provider Business Mailing Address
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Address Line | PO BOX 1319
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City | ATHENS
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State | AL
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Zip | 35612-6319
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Country | US
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Telephone | 256-233-7776
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Fax | 256-233-7688
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL K DALEY
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Credential | DC
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Telephone | 256-233-7776
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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 | 1255
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License Number State | MO
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