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General NPI Number Information
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NPI Number | 1700224375
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Entity Type | Organization
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Legal Business Name | B WELL CHIROPRATIC CLINIC, LLC
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 06/05/2013
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Provider Practice Location Address
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Address Line | 7804 E BRAINERD RD SUITE F
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3279
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Country | US
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Telephone | 423-893-1965
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Fax | 423-893-1967
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Provider Business Mailing Address
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Address Line | 7804 E BRAINERD RD SUITE F
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3279
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Country | US
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Telephone | 423-893-1965
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Fax | 423-893-1967
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Authorized Official
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Title or Position | CLINIC DIRECTOR/OWNER
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Name | DR. GLENDA LYNN TURNER
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Credential | D.C.
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Telephone | 423-892-1965
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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 | CHIR007777
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License Number State | GA
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