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General NPI Number Information
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NPI Number | 1487050027
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Entity Type | Organization
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Legal Business Name | DENTINGER CHIROPRACTIC AND WELLNESS PLLC
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Dates
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Enumeration Date | 11/10/2014
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Last Update Date | 11/10/2014
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Provider Practice Location Address
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Address Line | 901 WILLOW DR SUITE 1
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City | CHAPEL HILL
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State | NC
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Zip | 27514-7078
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Country | US
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Telephone | 919-307-9610
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Fax | 919-348-4662
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Provider Business Mailing Address
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Address Line | 901 WILLOW DR SUITE 1
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City | CHAPEL HILL
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State | NC
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Zip | 27514-7078
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Country | US
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Telephone | 919-307-9610
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Fax | 919-348-4662
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. CATHERINE NIEZGODA
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Credential | DC
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Telephone | 919-307-9610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 4242
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License Number State | NC
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