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General NPI Number Information
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NPI Number | 1073300505
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Entity Type | Individual
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Provider Name | MELISSA KROLL DC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 925 WAPPOO RD STE F
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City | CHARLESTON
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State | SC
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Zip | 29407-5969
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Country | US
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Telephone | 843-640-0767
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Fax |
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Provider Business Mailing Address
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Address Line | 1621 PRINCE EDWARD ST
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City | MOUNT PLEASANT
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State | SC
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Zip | 29466-9409
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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 |
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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 | 4862
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License Number State | SC
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