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General NPI Number Information
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NPI Number | 1326403734
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Entity Type | Organization
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Legal Business Name | BENTLEY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 01/04/2016
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Provider Practice Location Address
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Address Line | 114 PUMPKINTOWN HWY
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City | PICKENS
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State | SC
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Zip | 29671-2023
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Country | US
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Telephone | 864-507-2207
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Fax | 864-507-2209
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Provider Business Mailing Address
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Address Line | 114 PUMPKINTOWN HWY
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City | PICKENS
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State | SC
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Zip | 29671-2023
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Country | US
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Telephone | 864-507-2207
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Fax | 864-507-2209
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. CHASE EVERETT BENTLEY
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Credential | D.C.
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Telephone | 864-507-2207
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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 | 3726
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License Number State | SC
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