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General NPI Number Information
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NPI Number | 1407906290
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Entity Type | Organization
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Legal Business Name | POPWELL SCOTA SPINE CENTER
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 107 PELHAM COMMONS BLVD
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City | GREENVILLE
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State | SC
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Zip | 29615-4974
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Country | US
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Telephone | 864-244-2220
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Fax | 864-244-9282
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Provider Business Mailing Address
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Address Line | 107 PELHAM COMMONS BLVD
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City | GREENVILLE
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State | SC
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Zip | 29615-4974
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Country | US
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Telephone | 864-244-2220
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Fax | 864-244-9282
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN & PARTNER
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Name | DR. LEE POPWELL
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Credential | DC
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Telephone | 864-244-2220
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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 | 2926
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License Number State | SC
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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 | 2592
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License Number State | SC
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