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General NPI Number Information
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NPI Number | 1114384120
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Entity Type | Organization
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Legal Business Name | LIRINGIS CHIROPRACTIC CLINIC, PA
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 1622 STANLEY RD
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City | GREENSBORO
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State | NC
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Zip | 27407-2739
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Country | US
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Telephone | 336-299-3230
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Fax | 336-299-2122
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Provider Business Mailing Address
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Address Line | 3570 VEST MILL RD STE B
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City | WINSTON SALEM
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State | NC
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Zip | 27103-2963
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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 | BUSINESS DEPARTMENT
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Name | REBECCA CROSS
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Credential |
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Telephone | 336-299-3230
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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 | 4612
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License Number State | NY
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