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General NPI Number Information
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NPI Number | 1982607834
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Entity Type | Individual
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Provider Name | EARL BRIGGS ALLEN JR. DC
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 1932 LEE HWY
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City | BRISTOL
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State | VA
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Zip | 24201-1624
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Country | US
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Telephone | 276-466-2273
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Fax | 276-466-2214
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Provider Business Mailing Address
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Address Line | PO BOX 16056
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City | BRISTOL
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State | VA
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Zip | 24209-6056
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Country | US
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Telephone | 276-466-2273
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Fax | 276-466-2214
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0104000489
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License Number State | VA
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