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General NPI Number Information
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NPI Number | 1871697367
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Entity Type | Organization
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Legal Business Name | GALLOWAY CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 110 N MAIN ST
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City | BOAZ
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State | AL
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Zip | 35957-1626
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Country | US
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Telephone | 256-593-6363
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Fax | 256-593-1965
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Provider Business Mailing Address
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Address Line | 110 N MAIN ST
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City | BOAZ
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State | AL
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Zip | 35957-1626
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Country | US
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Telephone | 256-593-6363
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Fax | 256-593-1965
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES GALLOWAY
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Credential | DC
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Telephone | 256-593-6363
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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 | 1771
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License Number State | AL
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