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General NPI Number Information
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NPI Number | 1770530248
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Entity Type | Organization
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Legal Business Name | FOXWORTH CHIROPRACTIC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 2470 FLOWOOD DRIVE STE 125
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City | FLOWOOD
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State | MS
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Zip | 39232-9717
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Country | US
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Telephone | 601-932-9201
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Fax |
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Provider Business Mailing Address
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Address Line | 2470 FLOWOOD DR STE 125
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City | FLOWOOD
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State | MS
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Zip | 39232-9019
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Country | US
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Telephone | 601-932-9201
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW CEFALU
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Credential | DC
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Telephone | 601-932-9201
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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 |
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License Number State | MS
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