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General NPI Number Information
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NPI Number | 1316527245
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Entity Type | Organization
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Legal Business Name | NMBCHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 513 HIGHWAY 17 N
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-2903
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Country | US
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Telephone | 843-280-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 513 HIGHWAY 17 N
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-2903
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Country | US
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Telephone | 843-280-7000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRANDON RAY MORRIS
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Credential |
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Telephone | 843-858-3135
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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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