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General NPI Number Information
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NPI Number | 1790966364
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Entity Type | Organization
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Legal Business Name | AFFORDABLE CHIROPRACTIC, PC
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Dates
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Enumeration Date | 11/23/2007
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Last Update Date | 11/23/2007
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Provider Practice Location Address
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Address Line | 86 FRONTAGE ROAD
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City | DUNLAP
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State | TN
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Zip | 37327-0936
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Country | US
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Telephone | 423-949-5599
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Fax | 423-949-5585
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Provider Business Mailing Address
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Address Line | PO BOX 936 86 FRONTAGE ROAD
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City | DUNLAP
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State | TN
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Zip | 37327-0936
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Country | US
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Telephone | 423-949-5599
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Fax | 423-949-5585
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MONTY C. LONG
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Credential | D.C.
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Telephone | 423-949-5599
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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 | TN0000001810
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License Number State | TN
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