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General NPI Number Information
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NPI Number | 1407226137
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Entity Type | Organization
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Legal Business Name | ULLA SVANE CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 13635 PROVIDENCE ROAD
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City | WEDDINGTON
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State | NC
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Zip | 28104
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Country | US
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Telephone | 706-993-6330
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Fax |
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Provider Business Mailing Address
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Address Line | 10633 OAK POND CIR
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City | CHARLOTTE
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State | NC
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Zip | 28277
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Country | US
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Telephone | 706-993-6330
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ULLA M SVANE
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Credential | DC
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Telephone | 706-993-6330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 4218
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License Number State | NC
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