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General NPI Number Information
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NPI Number | 1851571657
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Entity Type | Organization
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Legal Business Name | HARRISON FAMILY CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 324 3RD ST SE
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City | FAYETTE
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State | AL
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Zip | 35555-2936
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Country | US
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Telephone | 205-932-7620
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Fax | 205-932-8742
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Provider Business Mailing Address
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Address Line | 324 3RD ST SE
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City | FAYETTE
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State | AL
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Zip | 35555-2936
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Country | US
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Telephone | 205-932-7620
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Fax | 205-932-8742
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Authorized Official
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Title or Position | V.P. / PHYSICIAN
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Name | DR. JEFFREY DEAN HARRISON
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Credential | D.C.
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Telephone | 205-932-7620
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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 | 1868
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License Number State | AL
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