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General NPI Number Information
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NPI Number | 1205741741
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Entity Type | Organization
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Legal Business Name | RESTORE CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 6112 LANGWELL LN
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City | CHARLOTTE
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State | NC
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Zip | 28278
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Country | US
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Telephone | 704-641-1015
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Fax |
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Provider Business Mailing Address
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Address Line | 1914 J N PEASE PL STE 151
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City | CHARLOTTE
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State | NC
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Zip | 28262-4504
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Country | US
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Telephone | 704-641-1015
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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. HECTOR RAUL MERA MENDIETA
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Credential | DC
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Telephone | 704-641-1015
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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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