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General NPI Number Information
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NPI Number | 1902995285
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Entity Type | Organization
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Legal Business Name | MILLBROOK FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/05/2013
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Provider Practice Location Address
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Address Line | 3363 HIGHWAY 14
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City | MILLBROOK
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State | AL
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Zip | 36054-2424
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Country | US
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Telephone | 334-285-8483
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 847
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City | MILLBROOK
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State | AL
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Zip | 36054-0018
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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 | MANAGER
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Name | DR. JEFFREY DAVID PASLEY
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Credential | D.C.
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Telephone | 334-285-8483
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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 | 2130
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License Number State | AL
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