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General NPI Number Information
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NPI Number | 1962562819
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Entity Type | Organization
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Legal Business Name | FAMILY CHIROPRACTIC & HEALTH CENTER, LLC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 1515 UNIVERSITY BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35401-1141
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Country | US
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Telephone | 205-758-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 UNIVERSITY BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35401-1141
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Country | US
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Telephone | 205-758-2225
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KAREN D BLAIR
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Credential |
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Telephone | 205-758-2225
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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 | 1141
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1341
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2362
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1130
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License Number State | AL
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