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General NPI Number Information
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NPI Number | 1285354647
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Entity Type | Individual
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Provider Name | RODNEY MCBRIDE DC
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Gender | Male
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 182 WIND CHIME CT STE 203
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City | RALEIGH
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State | NC
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Zip | 27615-6483
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Country | US
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Telephone | 310-473-9443
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Fax |
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Provider Business Mailing Address
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Address Line | 600 SAINT MARYS ST APT 511
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City | RALEIGH
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State | NC
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Zip | 27605-1795
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Country | US
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Telephone | 310-473-9443
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 5400
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License Number State | NC
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