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General NPI Number Information
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NPI Number | 1346318458
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Entity Type | Organization
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Legal Business Name | SCHULTZ ELLIS CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 196 N PINE STREET SUITE B
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City | ELIZABETHTOWN
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State | NC
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Zip | 28337-9245
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Country | US
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Telephone | 910-862-8544
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Fax | 910-862-3569
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Provider Business Mailing Address
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Address Line | PO BOX 2485
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City | ELIZABETHTOWN
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State | NC
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Zip | 28337-2485
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Country | US
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Telephone | 910-862-8544
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Fax | 910-862-3569
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. DANNY L ELLIS II
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Credential | DC
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Telephone | 910-862-8544
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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 | 1217
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License Number State | NC
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