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NPI 1790215226

NPI 1790215226 : OPTIMAL HEALING CHIROPRACTIC CLINIC, LLC : MOUNTAIN BRK, AL

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General NPI Number Information
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    NPI Number           |    1790215226
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    Entity Type          |    Organization 
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    Legal Business Name  |    OPTIMAL HEALING CHIROPRACTIC CLINIC, LLC 
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Dates
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    Enumeration Date     |    06/18/2017
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    Last Update Date     |    01/29/2026
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Provider Practice Location Address
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    Address Line         |    300 OFFICE PARK DR STE 120 
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    City                 |    MOUNTAIN BRK
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    State                |    AL
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    Zip                  |    35223-2415
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    Country              |    US
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    Telephone            |    205-949-7650
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    Fax                  |    205-719-4343
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Provider Business Mailing Address
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    Address Line         |    300 OFFICE PARK DR STE 120 
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    City                 |    MOUNTAIN BRK
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    State                |    AL
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    Zip                  |    35223-2415
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    Country              |    US
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    Telephone            |    205-949-7650
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    Fax                  |    205-719-4043
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MORGAN STACY KING 
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    Credential           |    
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    Telephone            |    678-608-5931
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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 |    
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Taxonomy #2
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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 |    AL
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