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General NPI Number Information
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NPI Number | 1255892931
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Entity Type | Organization
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Legal Business Name | ALIGN CHIROPRACTIC, PC
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 03/26/2019
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Provider Practice Location Address
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Address Line | 145 DUNES DR
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City | KINGS MOUNTAIN
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State | NC
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Zip | 28086-9400
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Country | US
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Telephone | 704-476-0012
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Fax |
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Provider Business Mailing Address
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Address Line | 145 DUNES DR
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City | KINGS MOUNTAIN
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State | NC
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Zip | 28086-9400
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Country | US
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Telephone | 704-476-0012
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER JONES HICKMAN
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Credential | DC
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Telephone | 704-300-2103
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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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