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General NPI Number Information
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NPI Number | 1104633726
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Entity Type | Organization
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Legal Business Name | LANGLEY CHIROPRACTIC
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 500 MILLS AVE STE EF
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City | GREENVILLE
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State | SC
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Zip | 29605-4280
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Country | US
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Telephone | 864-233-3364
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Fax | 864-233-3464
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Provider Business Mailing Address
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Address Line | 500 MILLS AVE STE EF
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City | GREENVILLE
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State | SC
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Zip | 29605-4280
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Country | US
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Telephone | 864-233-3364
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Fax | 864-233-3464
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PATRICIA C CARON
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Credential |
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Telephone | 864-233-3364
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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 |
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License Number State |
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