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General NPI Number Information
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NPI Number | 1427911981
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Entity Type | Organization
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Legal Business Name | SMITHFIELD CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 7 NOBLE ST
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City | SMITHFIELD
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State | NC
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Zip | 27577-9300
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Country | US
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Telephone | 919-989-9559
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Fax | 919-989-5992
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Provider Business Mailing Address
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Address Line | 7 NOBLE ST
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City | SMITHFIELD
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State | NC
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Zip | 27577-9300
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Country | US
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Telephone | 919-989-9559
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Fax | 919-989-5992
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Authorized Official
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Title or Position | OWNER
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Name | DR. EVAN WAGONER
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Credential | DC
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Telephone | 919-989-9559
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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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