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General NPI Number Information
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NPI Number | 1447774922
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Entity Type | Organization
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Legal Business Name | HEMINGWAY FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 07/27/2017
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Provider Practice Location Address
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Address Line | 1293 PROFESSIONAL DR STE 102
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-5754
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Country | US
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Telephone | 843-250-3876
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Fax | 843-839-9831
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Provider Business Mailing Address
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Address Line | 7212 HIGHWAY 908
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City | GRESHAM
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State | SC
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Zip | 29546-5086
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Country | US
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Telephone | 843-250-3876
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. JENICA D HEMINGWAY
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Credential | DC
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Telephone | 843-250-3876
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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 | 3717
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License Number State | SC
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