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General NPI Number Information
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NPI Number | 1154187987
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Entity Type | Organization
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Legal Business Name | NEW COUNTRY FAMILY CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 1318 DAVIE AVE STE B
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City | STATESVILLE
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State | NC
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Zip | 28677-3565
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Country | US
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Telephone | 828-221-6259
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Fax |
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Provider Business Mailing Address
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Address Line | 1318 DAVIE AVE STE B
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City | STATESVILLE
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State | NC
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Zip | 28677-3565
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Country | US
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Telephone | 828-221-6259
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Fax |
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Authorized Official
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Title or Position | OWER/ CHIROPRACTOR
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Name | DR. ANDREW G CREWS
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Credential | DC
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Telephone | 828-221-6259
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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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