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General NPI Number Information
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NPI Number | 1184362584
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Entity Type | Organization
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Legal Business Name | HALL CHIROPRACTIC CLINIC PLLC
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Dates
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Enumeration Date | 05/25/2022
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 3570 VEST MILL RD
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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 | 336-768-1004
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Fax | 336-659-1373
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Provider Business Mailing Address
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Address Line | 4729 CALE CT
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City | WALKERTOWN
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State | NC
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Zip | 27051-9516
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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 | OWNER
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Name | CARY HALL
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Credential | DC
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Telephone | 336-768-1004
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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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