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General NPI Number Information
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NPI Number | 1962770750
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Entity Type | Organization
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Legal Business Name | BAYOU CHIROPRACTIC CENTER P.L.
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 4761-6 BAYOU BLVD
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City | PENSACOLA
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State | FL
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Zip | 32503
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Country | US
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Telephone | 850-476-1887
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Fax | 850-476-0709
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Provider Business Mailing Address
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Address Line | 4761-6 BAYOU BLVD.
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City | PENSACOLA
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State | FL
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Zip | 32503
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Country | US
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Telephone | 850-476-1887
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Fax | 850-476-0709
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. STEVEN C MILLS
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Credential |
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Telephone | 850-476-1887
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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 | CH10432,CH5871,5894
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License Number State | FL
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