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General NPI Number Information
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NPI Number | 1215921556
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Entity Type | Individual
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Provider Name | JOHN CHRISTOPHER TOLER D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/01/2005
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 607-B ST. JAMES AVE
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City | GOOSE CREEK
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State | SC
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Zip | 29445-2773
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Country | US
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Telephone | 843-376-5595
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Fax | 843-797-7432
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Provider Business Mailing Address
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Address Line | 607-B ST. JAMES AVE
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City | GOOSE CREEK
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State | SC
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Zip | 29445-2773
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Country | US
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Telephone | 843-376-5595
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Fax | 843-797-7432
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3158
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3599
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License Number State | SC
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