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General NPI Number Information
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NPI Number | 1417781204
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Entity Type | Organization
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Legal Business Name | RANDALL CHIROPRACTIC AND FUNCTIONAL MEDICINE PLLC
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Dates
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Enumeration Date | 08/26/2024
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 1218 HENDERSONVILLE RD
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City | ASHEVILLE
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State | NC
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Zip | 28803-1903
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Country | US
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Telephone | 828-277-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 HENDERSONVILLE RD
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City | ASHEVILLE
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State | NC
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Zip | 28803-1903
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Country | US
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Telephone | 828-277-7000
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | HAILEY MORGAN RANDALL
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Credential | D.C.
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Telephone | 828-277-7000
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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 |
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License Number State |
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