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General NPI Number Information
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NPI Number | 1710288980
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Entity Type | Organization
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Legal Business Name | MESECK FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2199 FAIRVIEW BLVD
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City | FAIRVIEW
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State | TN
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Zip | 37062-9032
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Country | US
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Telephone | 615-266-2213
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Fax | 615-266-2365
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Provider Business Mailing Address
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Address Line | 2199 FAIRVIEW BLVD
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City | FAIRVIEW
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State | TN
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Zip | 37062-9032
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Country | US
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Telephone | 615-266-2213
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Fax | 615-266-2365
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JACOB VICTOR MESECK
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Credential | DC
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Telephone | 615-266-2213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 2322
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 2308
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License Number State | TN
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