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General NPI Number Information
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NPI Number | 1861681876
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Entity Type | Organization
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Legal Business Name | NEWELL CHIROPRACTIC INC
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 1423 GADSDEN HWY SUITE 105
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3153
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Country | US
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Telephone | 205-661-6600
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Fax | 205-661-6601
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Provider Business Mailing Address
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Address Line | 1423 GADSDEN HWY SUITE 105
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3153
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Country | US
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Telephone | 205-661-6600
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Fax | 205-661-6601
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DR. CRAIG ALLAN MIX
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Credential | DC
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Telephone | 205-661-6600
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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 | 2072
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License Number State | AL
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