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General NPI Number Information
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NPI Number | 1306068127
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Entity Type | Organization
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Legal Business Name | WORTH FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 1531 E MAIN ST #2
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City | DUNCAN
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State | SC
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Zip | 29334
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Country | US
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Telephone | 864-595-6117
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Fax |
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Provider Business Mailing Address
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Address Line | 1531 E MAIN ST #2
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City | DUNCAN
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State | SC
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Zip | 29334
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Country | US
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Telephone | 864-595-6117
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. JAMES K WORTH JR.
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Credential | D.C.
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Telephone | 864-595-6117
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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 | 3247
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License Number State | SC
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