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General NPI Number Information
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NPI Number | 1275315350
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Entity Type | Organization
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Legal Business Name | WAVES OF WELLNESS CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 473 OLDE WATERFORD WAY STE 118
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City | BELVILLE
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State | NC
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Zip | 28451-4208
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Country | US
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Telephone | 910-859-8359
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Fax |
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Provider Business Mailing Address
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Address Line | 217 BRONZE DR
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City | ROCKY POINT
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State | NC
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Zip | 28457-1411
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Country | US
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Telephone | 603-903-3538
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | MEGAN TOMBERLIN
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Credential | DC
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Telephone | 603-903-3538
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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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