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General NPI Number Information
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NPI Number | 1952623316
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Entity Type | Organization
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Legal Business Name | ALABAMA FAMILY CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 1714 W 3RD ST
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City | MONTGOMERY
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State | AL
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Zip | 36106-1506
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Country | US
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Telephone | 334-834-6282
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Fax | 334-834-6418
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Provider Business Mailing Address
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Address Line | 1714 W 3RD ST
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City | MONTGOMERY
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State | AL
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Zip | 36106-1506
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Country | US
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Telephone | 334-834-6282
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Fax | 334-834-6418
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Authorized Official
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Title or Position | BILLING PROFESSIONAL
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Name | MRS. SUSAN HENRY
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Credential |
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Telephone | 334-396-6988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 1762
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License Number State | AL
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