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General NPI Number Information
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NPI Number | 1932509304
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Entity Type | Organization
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Legal Business Name | OCEAN SPRINGS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 2900B GOVERNMENT ST
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-5647
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Country | US
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Telephone | 334-618-1227
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Fax |
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Provider Business Mailing Address
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Address Line | 2900B GOVERNMENT ST
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-5647
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Country | US
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Telephone | 334-618-1227
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC/OWNER
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Name | GENEVIEVE PITCHFORD
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Credential | D.C.
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Telephone | 334-618-1227
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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 | 1203
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License Number State | MS
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