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General NPI Number Information
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NPI Number | 1881889921
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Entity Type | Organization
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Legal Business Name | MEGHAN JOHN CORPORATION THE
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 1190 MAIN STREET
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City | SUMITON
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State | AL
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Zip | 35148
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Country | US
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Telephone | 205-648-2660
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Fax | 205-648-2886
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Provider Business Mailing Address
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Address Line | PO BOX 656
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City | SUMITON
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State | AL
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Zip | 35148-0656
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Country | US
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Telephone | 205-648-2660
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Fax | 205-648-2886
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN DOUGLAS BROWN
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Credential | D.C.
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Telephone | 205-648-2660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 1563/265AL
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 1563/265AL
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License Number State | AL
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