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General NPI Number Information
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NPI Number | 1164815627
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH INDUSTRIES NC
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 5821 FAIRVIEW RD STE. #215
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City | CHARLOTTE
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State | NC
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Zip | 28209-5601
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Country | US
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Telephone | 704-626-2550
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Fax | 704-626-2550
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Provider Business Mailing Address
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Address Line | 7612 TIMBER RIDGE DR
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City | MINT HILL
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State | NC
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Zip | 28227-5254
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Country | US
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Telephone | 956-346-1877
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES TODD BOYD
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Credential | D.C.
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Telephone | 956-346-1877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 4314
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License Number State | NC
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