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General NPI Number Information
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NPI Number | 1780855122
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Entity Type | Organization
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Legal Business Name | GILLES X BEAUMONT DC PC
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 801 DOWNTOWNER BLVD
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City | MOBILE
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State | AL
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Zip | 36609-5403
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Country | US
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Telephone | 251-341-1211
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Fax | 251-414-5104
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Provider Business Mailing Address
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Address Line | 801 DOWNTOWNER BLVD
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City | MOBILE
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State | AL
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Zip | 36609-5403
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Country | US
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Telephone | 251-341-1211
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Fax | 251-414-5104
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GILLES XAVIER BEAUMONT
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Credential | D.C.
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Telephone | 251-341-1211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 1080
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License Number State | AL
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