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NPI 1043355753

NPI 1043355753 : NATHANIEL CHRISTOPHER MAJORIS D.C., A.T.C. : CHARLESTON, WV

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General NPI Number Information
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    NPI Number           |    1043355753
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    Entity Type          |    Individual 
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    Provider Name        |    NATHANIEL CHRISTOPHER MAJORIS D.C., A.T.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/20/2007
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    Last Update Date     |    10/24/2011
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Provider Practice Location Address
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    Address Line         |    313 MACCORKLE AVE SW HOLZER CLINIC INC.
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    City                 |    CHARLESTON
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    State                |    WV
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    Zip                  |    25303-1263
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    Country              |    US
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    Telephone            |    304-744-2300
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    Fax                  |    304-744-8195
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Provider Business Mailing Address
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    Address Line         |    90 JACKSON PIKE HOLZER CLINIC INC
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    City                 |    GALLIPOLIS
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    State                |    OH
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    Zip                  |    45631
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    Country              |    US
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    Telephone            |    304-744-2300
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    Fax                  |    304-744-8195
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    901
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    License Number State |    WV
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