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General NPI Number Information
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NPI Number | 1871793638
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Entity Type | Organization
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Legal Business Name | RICHARD M JONES CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 2700 HIGHLAND AVE
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City | MONTGOMERY
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State | AL
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Zip | 36107-2823
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Country | US
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Telephone | 334-262-4877
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 HIGHLAND AVE
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City | MONTGOMERY
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State | AL
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Zip | 36107-2823
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | INSURANCE
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Name | MRS. KIMBERLY GORDON
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Credential |
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Telephone | 334-262-4877
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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 | 718
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License Number State | AL
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