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General NPI Number Information
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NPI Number | 1235533050
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Entity Type | Organization
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Legal Business Name | DISCOVER CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 28A OFFICE PARK DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546-3217
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Country | US
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Telephone | 404-409-8019
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Fax |
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Provider Business Mailing Address
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Address Line | 28A OFFICE PARK DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546-3217
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Country | US
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Telephone | 404-409-8019
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. SALMAN GERAMI SARABI
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Credential | D.C.
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Telephone | 404-409-8019
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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 | 4466
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License Number State | NC
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