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General NPI Number Information
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NPI Number | 1447401344
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Entity Type | Organization
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Legal Business Name | BACK PAIN CLINIC II, P.A.
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 7 BEAVERDAM RD SUITES 1 & 2
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City | ASHEVILLE
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State | NC
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Zip | 28804-2552
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Country | US
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Telephone | 828-254-1099
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Fax | 828-254-1127
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Provider Business Mailing Address
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Address Line | 7 BEAVERDAM RD SUITES 1 & 2
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City | ASHEVILLE
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State | NC
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Zip | 28804-2552
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Country | US
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Telephone | 828-254-1099
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Fax | 828-254-1127
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. MICHAEL JOSEPH ZBOYOVSKI SR.
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Credential | D.C.
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Telephone | 828-254-1099
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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 | 971
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License Number State | NC
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