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NPI 1417862954

NPI 1417862954 : UNDERWOOD FAMILY CHIROPRACTIC LLC : INMAN, SC

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General NPI Number Information
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    NPI Number           |    1417862954
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNDERWOOD FAMILY CHIROPRACTIC LLC 
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Dates
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    Enumeration Date     |    08/18/2026
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    Last Update Date     |    08/18/2026
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Provider Practice Location Address
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    Address Line         |    11631 ASHEVILLE HWY STE I 
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    City                 |    INMAN
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    State                |    SC
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    Zip                  |    29349-1855
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    Country              |    US
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    Telephone            |    864-473-0242
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    Fax                  |    864-472-0373
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Provider Business Mailing Address
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    Address Line         |    1 VIOLET CT 
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    City                 |    GREENVILLE
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    State                |    SC
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    Zip                  |    29615-5543
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    Country              |    US
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    Telephone            |    304-210-7564
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. AMANDA G UNDERWOOD 
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    Credential           |    
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    Telephone            |    864-640-3819
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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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