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William
D
Copeland
DC
Contract Details
Copeland Chiropractic Clinic
Facility name
Provider ID
P000000340
NPI
1164431144
Tax ID
420568145
Effective Date
11/25/2002
Last Updated
8/26/2014
Direct Contract
Yes
Term Date
3/4/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
412 1st Avenue Southeast Suite 103
Cullman, AL 35055
United States
County
Cullman
Phone
2567379450
(
Phone
)
Billing Details
Address
412 1st Avenue Southeast
Suite 103
Cullman, AL 35055
Billing Phone
2567379450
Specialty Type
Chiropractic Medicine
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Address