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NPI 1366604019

NPI 1366604019 : DOWNTOWN CHIROPRACTIC CENTER, INC. : ASHEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1366604019
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    Entity Type          |    Organization 
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    Legal Business Name  |    DOWNTOWN CHIROPRACTIC CENTER, INC. 
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Dates
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    Enumeration Date     |    06/25/2008
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    Last Update Date     |    08/20/2008
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Provider Practice Location Address
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    Address Line         |    438 MONTFORD AVE 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28801-1015
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    Country              |    US
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    Telephone            |    828-236-0330
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    Fax                  |    828-236-0340
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Provider Business Mailing Address
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    Address Line         |    438 MONTFORD AVE 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28801-1015
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    Country              |    US
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    Telephone            |    828-236-0330
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    Fax                  |    828-236-0340
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ANDREW L AGUILAR 
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    Credential           |    DC
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    Telephone            |    828-236-0330
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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       |    2381
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    License Number State |    NC
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