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Vincent
J
Redden
DC
Contract Details
ChiroPlus Of Alabama
Facility name
Provider ID
P000001431
NPI
1447308135
Tax ID
631114570
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
4/16/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
557 Glover Avenue Suite 27
Enterprise, AL 36330
United States
County
Coffee
Phone
3343934425
(
Phone
)
Billing Details
Address
557 Glover Avenue
Suite 27
Enterprise, AL 36330
Billing Phone
3343934425
Specialty Type
Chiropractic Medicine
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Address