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General NPI Number Information
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NPI Number | 1477740132
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Entity Type | Organization
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Legal Business Name | CAROLINA CHIROPRACTIC CLINIC, PC
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 221 NC HIGHWAY 42 E
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City | CLAYTON
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State | NC
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Zip | 27527-5281
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Country | US
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Telephone | 919-553-0001
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Fax | 919-553-0029
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Provider Business Mailing Address
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Address Line | 221 NC HIGHWAY 42 E
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City | CLAYTON
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State | NC
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Zip | 27527-5281
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Country | US
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Telephone | 919-553-0001
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Fax | 919-553-0029
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AARON R PRINKEY
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Credential | D.C.
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Telephone | 919-553-0001
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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 | 2906
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License Number State | NC
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