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General NPI Number Information
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NPI Number | 1164379988
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Entity Type | Organization
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Legal Business Name | BEVERLEY CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 2238 S CHIPLEY FORD RD
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City | STATESVILLE
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State | NC
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Zip | 28625-8706
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Country | US
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Telephone | 540-784-5131
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Fax |
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Provider Business Mailing Address
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Address Line | 130 CLINTON CT
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City | TROUTMAN
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State | NC
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Zip | 28166-9535
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Country | US
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Telephone | 540-784-5131
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRICE BEVERLEY
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Credential | D.C.
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Telephone | 540-784-5131
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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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