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General NPI Number Information
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NPI Number | 1316083975
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE CHIROPRACTIC PC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 4089 DAVIS DRIVE
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City | MORRISVILLE
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State | NC
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Zip | 27560
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Country | US
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Telephone | 919-468-5622
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Fax | 919-468-5622
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Provider Business Mailing Address
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Address Line | 4089 DAVIS DRIVE
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City | MORRISVILLE
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State | NC
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Zip | 27560
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Country | US
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Telephone | 919-468-5622
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Fax | 919-468-5624
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. STEVE PALAZZO
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Credential | DC
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Telephone | 919-468-5622
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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 | 3698
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4285
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3644
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License Number State | NC
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