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General NPI Number Information
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NPI Number | 1649703810
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Entity Type | Individual
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Provider Name | JESSICA LAUREN ALLEN D.C.
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Gender | Female
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Dates
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Enumeration Date | 04/05/2017
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 3425 PELHAM PKWY
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City | PELHAM
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State | AL
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Zip | 35124-2009
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Country | US
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Telephone | 205-664-7707
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Fax | 205-664-8477
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Provider Business Mailing Address
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Address Line | 3425 PELHAM PKWY
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City | PELHAM
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State | AL
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Zip | 35124-2009
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Country | US
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Telephone | 205-664-7707
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Fax | 205-664-8477
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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 | 2535
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License Number State | AL
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