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General NPI Number Information
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NPI Number | 1437240280
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Entity Type | Organization
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Legal Business Name | MCGREW CHIROPRACTIC CLINIC PA
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 2238 SOUTH CHIPLEY FORD ROAD
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City | STATESVILLE
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State | NC
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Zip | 28625-8706
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Country | US
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Telephone | 704-873-3777
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Fax | 704-872-7534
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Provider Business Mailing Address
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Address Line | 2238 SOUTH CHIPLEY FORD ROAD
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City | STATESVILLE
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State | NC
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Zip | 28625-8706
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Country | US
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Telephone | 704-873-3777
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Fax | 704-872-7534
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILIP BENJAMIN MCGREW
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Credential | DC
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Telephone | 704-873-3777
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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 | 1799
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License Number State | NC
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