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General NPI Number Information
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NPI Number | 1235365040
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Entity Type | Organization
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Legal Business Name | MCWHORTER CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1600 SCOTTSVILLE RD STE 202
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City | BOWLING GREEN
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State | KY
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Zip | 42104-3217
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Country | US
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Telephone | 270-904-4111
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Fax | 270-904-3333
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Provider Business Mailing Address
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Address Line | 1600 SCOTTSVILLE RD STE 202
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City | BOWLING GREEN
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State | KY
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Zip | 42104-3217
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Country | US
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Telephone | 270-904-4111
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Fax | 270-904-3333
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. JEREMY C MCWHORTER
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Credential | D.C.
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Telephone | 270-843-2255
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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 | 5186
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License Number State | KY
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