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General NPI Number Information
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NPI Number | 1366707853
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Entity Type | Organization
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Legal Business Name | WORKMAN FAMILY CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 07/10/2012
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Provider Practice Location Address
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Address Line | 5183 CLINTON RD STE101
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City | STEDMAN
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State | NC
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Zip | 28391-9523
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Country | US
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Telephone | 910-482-4444
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Fax | 910-482-4441
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Provider Business Mailing Address
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Address Line | 5183 CLINTON RD STE101
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City | STEDMAN
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State | NC
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Zip | 28391-9523
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | DR. LUCCUS LEE WORKMAN
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Credential | D.C.
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Telephone | 919-593-5809
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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 | 3470
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3494
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License Number State | NC
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