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General NPI Number Information
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NPI Number | 1750767075
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Entity Type | Organization
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Legal Business Name | FAMILY TREE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 8158 STATE HIGHWAY 59 SUITE 106
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City | FOLEY
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State | AL
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Zip | 36535-3880
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Country | US
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Telephone | 251-943-0569
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Fax | 251-943-0559
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Provider Business Mailing Address
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Address Line | 8158 STATE HIGHWAY 59 SUITE 106
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City | FOLEY
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State | AL
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Zip | 36535-3880
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Country | US
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Telephone | 251-943-0569
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Fax | 251-943-0559
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Authorized Official
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Title or Position | MEMBER
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Name | JENNIFER LYNN ALIMENT
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Credential | D.C.
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Telephone | 425-442-9018
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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 | 2465
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License Number State | AL
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