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General NPI Number Information
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NPI Number | 1639418007
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Entity Type | Individual
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Provider Name | LAUREN PAYNE COBB D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 2811 LURLEEN B WALLACE BLVD SUITE 12
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City | NORTHPORT
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State | AL
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Zip | 35476-3281
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Country | US
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Telephone | 205-339-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 2811 LURLEEN B WALLACE BLVD STE 12
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City | NORTHPORT
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State | AL
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Zip | 35476-3257
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Country | US
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Telephone | 205-292-0734
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2390
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License Number State | AL
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