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Paul
A
Protz
DC
Contract Details
ChiroPlus Of Alabama
Facility name
Provider ID
P000001403
NPI
1306994405
Tax ID
630853646
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
14511 Highway 68
Crossville, AL 35962
United States
County
De Kalb
Phone
2565287101
(
Phone
)
Billing Details
Address
P.O. Box 155
Crossville, AL 35962
Billing Phone
2565287101
Specialty Type
Chiropractic Medicine
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Address