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General NPI Number Information
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NPI Number | 1033312186
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Entity Type | Organization
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Legal Business Name | NASHVILLE CHIROPRACTIC, INC
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 09/28/2007
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Provider Practice Location Address
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Address Line | 343 W WASHINGTON ST
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City | NASHVILLE
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State | NC
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Zip | 27856-1260
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Country | US
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Telephone | 252-459-1110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 0005
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City | NASHVILLE
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State | NC
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Zip | 27856
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | ALLEN BOLIN
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Credential | DC
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Telephone | 252-459-1110
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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 | 3709
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License Number State | NC
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