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General NPI Number Information
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NPI Number | 1356519292
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Entity Type | Organization
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Legal Business Name | CHAPEL HILL CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1520 HOME AVE
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City | AKRON
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State | OH
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Zip | 44310-1600
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Country | US
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Telephone | 330-630-1500
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Fax | 330-630-9303
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Provider Business Mailing Address
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Address Line | 1520 HOME AVE
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City | AKRON
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State | OH
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Zip | 44310-1600
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Country | US
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Telephone | 330-630-1500
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Fax | 330-630-9303
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRACY WAYNE PRICE
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Credential | D.C.
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Telephone | 330-630-1500
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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 | 1412
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License Number State | OH
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