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General NPI Number Information
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NPI Number | 1083593503
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Entity Type | Organization
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Legal Business Name | CAROLINA SPORTS AND WELLNESS CHIROPRACTIC, PLLC.
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 28 WHITEVILLE PLZ
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City | WHITEVILLE
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State | NC
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Zip | 28472-4539
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Country | US
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Telephone | 910-640-7830
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Fax |
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Provider Business Mailing Address
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Address Line | 5443 LEBANON CHURCH RD
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City | CLARENDON
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State | NC
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Zip | 28432-9030
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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 | SOLE MEMBER
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Name | DR. TALLEY ADDISON BARNHILL
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Credential | DC
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Telephone | 910-640-7830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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