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General NPI Number Information
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NPI Number | 1164823803
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Entity Type | Organization
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Legal Business Name | PROMOTION CHIROPRACTIC AND THERAPEUTICS LLC
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 11/01/2017
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Provider Practice Location Address
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Address Line | 115 NEW SPRING CT
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City | SUMMERVILLE
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State | SC
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Zip | 29485-5245
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Country | US
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Telephone | 843-489-1672
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Fax | 843-589-1102
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Provider Business Mailing Address
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Address Line | 717 OLD TROLLEY RD STE 6
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City | SUMMERVILLE
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State | SC
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Zip | 29485-5287
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Country | US
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Telephone | 843-489-1672
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Fax | 843-589-1102
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | GREGORY TURPIN
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Credential | D.C.
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Telephone | 843-270-7014
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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 | 4013
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License Number State | SC
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