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General NPI Number Information
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NPI Number | 1356566830
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Entity Type | Organization
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Legal Business Name | CHANDLER CHIROPRACTIC CENTER, P.A.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1340 MATTHEWS TOWNSHIP PKWY SUITE 103
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City | MATTHEWS
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State | NC
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Zip | 28105-5580
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Country | US
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Telephone | 704-845-8499
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Fax | 704-845-5321
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Provider Business Mailing Address
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Address Line | PO BOX 835
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City | MATTHEWS
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State | NC
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Zip | 28106-0835
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Country | US
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Telephone | 704-845-8499
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Fax | 704-845-5321
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Authorized Official
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Title or Position | MANAGER
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Name | DR. KIMBERLY JOSEY
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Credential | D.C.
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Telephone | 704-845-8499
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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 | 1517 AND 2845
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License Number State | NC
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