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General NPI Number Information
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NPI Number | 1245121979
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Entity Type | Organization
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Legal Business Name | CULTURE CHIROPRACTIC AND FAMILY WELLNESS CENTERS P C
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 7915 MALCOLM RD STE 103
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City | CLINTON
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State | MD
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Zip | 20735-1732
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Country | US
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Telephone | 301-861-0839
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Fax |
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Provider Business Mailing Address
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Address Line | 7915 MALCOLM RD STE 103
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City | CLINTON
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State | MD
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Zip | 20735-1732
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Country | US
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Telephone | 301-861-0839
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEIDRA NICOLE WELLS
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Credential | DC
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Telephone | 301-861-0839
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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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