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General NPI Number Information
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NPI Number | 1225055031
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Entity Type | Organization
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Legal Business Name | SCHILSKY ROFF FREEMAN PLLC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 458 KNOLLWOOD ST
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City | WINSTON SALEM
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State | NC
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Zip | 27103-3426
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Country | US
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Telephone | 336-768-3838
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Fax | 336-794-7473
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Provider Business Mailing Address
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Address Line | 458 KNOLLWOOD ST
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City | WINSTON SALEM
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State | NC
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Zip | 27103-3426
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Country | US
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Telephone | 336-768-3838
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Fax | 336-794-7473
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | THOMAS A FREEMAN
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Credential | D.C.
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Telephone | 336-768-3838
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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 | 3069
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License Number State | NC
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