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General NPI Number Information
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NPI Number | 1659555787
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Entity Type | Organization
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Legal Business Name | SAXON FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 12/26/2007
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Last Update Date | 12/26/2007
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Provider Practice Location Address
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Address Line | 315 MAGNOLIA AVE
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City | FAIRHOPE
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State | AL
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Zip | 36532-2413
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Country | US
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Telephone | 251-990-8188
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Fax | 251-990-8159
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Provider Business Mailing Address
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Address Line | 315 MAGNOLIA AVE
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City | FAIRHOPE
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State | AL
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Zip | 36532-2413
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Country | US
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Telephone | 251-990-8188
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Fax | 251-990-8159
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | KIMBERLY LYNNE SAXON
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Credential | D.C.
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Telephone | 251-625-1034
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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 | 2185
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License Number State | AL
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