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General NPI Number Information
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NPI Number | 1477618569
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Entity Type | Organization
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Legal Business Name | DLO INC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 786 NC HIGHWAY 210 W
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City | HAMPSTEAD
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State | NC
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Zip | 28443-3464
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Country | US
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Telephone | 910-270-4795
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Fax |
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Provider Business Mailing Address
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Address Line | 786 NC HIGHWAY 210 W
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City | HAMPSTEAD
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State | NC
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Zip | 28443-3464
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Country | US
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Telephone | 910-270-4795
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD WAYNE O'NEIL JR.
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Credential | D.C.
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Telephone | 910-329-0011
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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 | 3266
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License Number State | NC
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