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Organization

DAPHNE CHIROPRACTIC CENTER,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELVIN ARDEN MASHNER D.C. (OWNER)
(251) 626-1234
Entity
Organization

Contact information

Practice address
9113 MERRITT LN, DAPHNE, AL 36526-5609
(251) 626-1234
Mailing address
9113 MERRITT LN, DAPHNE, AL 36526-5609
(251) 626-1234

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1445
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51507924
BCBS PROVIDER #
AL
Enumeration date
12/21/2006
Last updated
09/29/2010
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