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General NPI Number Information
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NPI Number | 1750930228
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Entity Type | Organization
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Legal Business Name | KNIGHT CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 09/08/2019
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Last Update Date | 09/08/2019
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Provider Practice Location Address
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Address Line | 7900 BAILEY COVE RD SE STE 6
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City | HUNTSVILLE
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State | AL
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Zip | 35802-3341
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Country | US
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Telephone | 205-269-2259
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Fax |
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Provider Business Mailing Address
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Address Line | 2707 TAMMERACK LN SE
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City | OWENS CROSS ROADS
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State | AL
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Zip | 35763-8682
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Country | US
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Telephone | 205-269-2259
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL DAVID KNIGHT
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Credential | DC
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Telephone | 205-269-2259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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