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General NPI Number Information
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NPI Number | 1003013186
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Entity Type | Organization
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Legal Business Name | CENTER FOR CHIROPRACTIC & WELLNESS, PLLC
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 8300 HEALTH PARK SUITE 133
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City | RALEIGH
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State | NC
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Zip | 27615-4730
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Country | US
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Telephone | 919-845-3280
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Fax | 919-845-3276
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Provider Business Mailing Address
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Address Line | 8300 HEALTH PARK SUITE 133
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City | RALEIGH
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State | NC
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Zip | 27615-4730
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Country | US
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Telephone | 919-845-3280
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Fax | 919-845-3276
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | DR. JENNIFER GREENFIELD
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Credential | D.C.
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Telephone | 919-845-3280
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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 | 3373
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3447
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License Number State | NC
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