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General NPI Number Information
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NPI Number | 1518930569
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Entity Type | Organization
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Legal Business Name | WERNER INC
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 12/26/2012
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Provider Practice Location Address
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Address Line | 1267 EBENEZER RD
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City | ROCK HILL
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State | SC
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Zip | 29732-2353
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Country | US
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Telephone | 803-329-6361
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Fax | 866-926-0449
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Provider Business Mailing Address
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Address Line | 1267 EBENEZER RD
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City | ROCK HILL
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State | SC
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Zip | 29732-2353
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Country | US
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Telephone | 803-329-6361
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Fax | 866-926-0449
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Authorized Official
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Title or Position | OWNER
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Name | RHONDA WERNER
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Credential | DC
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Telephone | 803-329-6361
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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 | 2955
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License Number State | SC
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