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General NPI Number Information
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NPI Number | 1114224086
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Entity Type | Organization
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Legal Business Name | CONTOUR FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/11/2011
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 1728 OLD YORK RD
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City | YORK
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State | SC
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Zip | 29745-9458
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Country | US
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Telephone | 803-818-5377
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Fax | 803-818-5379
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Provider Business Mailing Address
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Address Line | 1728 OLD YORK RD
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City | YORK
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State | SC
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Zip | 29745-9458
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Country | US
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Telephone | 803-818-5377
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Fax | 803-818-5379
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. AMY A NEDROW
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Credential | D.C.
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Telephone | 803-818-5377
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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 | 3609
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License Number State | SC
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