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General NPI Number Information
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NPI Number | 1649893892
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Entity Type | Organization
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Legal Business Name | ALIGN CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 2112 BIENVILLE BLVD STE J
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3067
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Country | US
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Telephone | 228-447-3200
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Fax | 228-447-3201
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Provider Business Mailing Address
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Address Line | 2112 BIENVILLE BLVD STE J
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3067
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Country | US
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Telephone | 228-447-3200
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Fax | 228-447-3201
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DIANE BENIZZI
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Credential | DC
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Telephone | 228-447-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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