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General NPI Number Information
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NPI Number | 1396303178
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Entity Type | Organization
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Legal Business Name | CHIRODUO
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 06/05/2019
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Provider Practice Location Address
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Address Line | 6816 RAY RD
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City | RALEIGH
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State | NC
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Zip | 27613-3237
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Country | US
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Telephone | 984-212-4382
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 CREEDMOOR RD # 170-174
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City | RALEIGH
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State | NC
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Zip | 27612-6730
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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 | CO-OWNER
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Name | SAMUEL FEINBERG
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Credential |
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Telephone | 984-212-4382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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