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General NPI Number Information
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NPI Number | 1831495894
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Entity Type | Organization
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Legal Business Name | THE WELLNESS CENTER OF TUSCALOOSA
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 07/26/2011
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Provider Practice Location Address
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Address Line | 1040 LURLEEN B WALLACE BLVD S SUITE A
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2219
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Country | US
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Telephone | 205-345-3452
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 LURLEEN B WALLACE BLVD S SUITE A
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2219
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Country | US
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Telephone | 205-345-3452
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD W. RHODES JR.
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Credential |
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Telephone | 205-345-3452
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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 | 1138
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License Number State | AL
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