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General NPI Number Information
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NPI Number | 1245953843
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Entity Type | Organization
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Legal Business Name | ARISE CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 4350 MAIN ST STE 107
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City | HARRISBURG
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State | NC
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Zip | 28075-7439
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Country | US
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Telephone | 704-702-6191
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Fax |
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Provider Business Mailing Address
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Address Line | 4350 MAIN ST STE 107
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City | HARRISBURG
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State | NC
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Zip | 28075-7439
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Country | US
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Telephone | 704-702-6191
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAITLYN MILLER
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Credential | DC
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Telephone | 850-572-4610
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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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