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General NPI Number Information
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NPI Number | 1811398548
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Entity Type | Organization
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Legal Business Name | CHOICE CHIROPRACTIC, PC
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 5575 HIGHWAY 431 S SUITE 104
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City | BROWNSBORO
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State | AL
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Zip | 35741-9748
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Country | US
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Telephone | 256-270-8059
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Fax | 256-715-1853
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Provider Business Mailing Address
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Address Line | 5575 HIGHWAY 431 S SUITE 104
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City | BROWNSBORO
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State | AL
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Zip | 35741-9748
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Country | US
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Telephone | 256-270-8059
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Fax | 256-715-1853
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY E SARGEANT
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Credential | D.C.
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Telephone | 256-509-6091
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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 | AL1792
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License Number State | AL
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