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General NPI Number Information
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NPI Number | 1043516875
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Entity Type | Organization
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Legal Business Name | COURNOYER CHIROPRACTIC PC
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 780 HENDERSONVILLE RD #17
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City | ASHEVILLE
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State | NC
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Zip | 28803-2900
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Country | US
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Telephone | 828-230-7253
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Fax |
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Provider Business Mailing Address
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Address Line | 780 HENDERSONVILLE RD #17
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City | ASHEVILLE
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State | NC
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Zip | 28803-2900
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Country | US
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Telephone | 828-230-7253
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/ OWNER
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Name | JENNIFER COURNOYER
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Credential | DC
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Telephone | 828-230-7253
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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 | 4101
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License Number State | NC
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