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General NPI Number Information
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NPI Number | 1043461973
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Entity Type | Individual
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Provider Name | AMY CHRISTINA EWALD D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 361 N BENNETT ST
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-4812
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Country | US
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Telephone | 910-692-5207
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Fax |
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Provider Business Mailing Address
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Address Line | 214 SOMERSET DR
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City | RAEFORD
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State | NC
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Zip | 28376-5420
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Country | US
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Telephone | 651-338-2582
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Fax |
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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 | 3885
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License Number State | NC
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