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NPI 1962993691

NPI 1962993691 : ALABAMA CHIROPRACTIC SPINE & JOINT CLINIC : FLORENCE, AL

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General NPI Number Information
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    NPI Number           |    1962993691
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALABAMA CHIROPRACTIC SPINE & JOINT CLINIC 
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Dates
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    Enumeration Date     |    05/29/2018
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    Last Update Date     |    07/06/2018
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Provider Practice Location Address
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    Address Line         |    100 PINE BROOK DR 
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    City                 |    FLORENCE
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    State                |    AL
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    Zip                  |    35633
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    Country              |    US
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    Telephone            |    731-607-5952
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    100 PINE BROOK DR 
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    City                 |    FLORENCE
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    State                |    AL
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    Zip                  |    35633-1137
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    Country              |    US
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    Telephone            |    731-607-5952
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHYSICIAN/OWNER
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    Name                 |     BAILEY  CARROLL 
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    Credential           |    DC
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    Telephone            |    256-284-7179
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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       |    2320
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    License Number State |    AL
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