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General NPI Number Information
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NPI Number | 1528081593
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Entity Type | Organization
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Legal Business Name | HEALING FOR LIFE, PLLC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 2436 N CENTER ST
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City | HICKORY
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State | NC
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Zip | 28601-1335
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Country | US
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Telephone | 828-325-5850
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Fax | 828-325-5852
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Provider Business Mailing Address
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Address Line | 2436 N CENTER ST
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City | HICKORY
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State | NC
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Zip | 28601-1335
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Country | US
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Telephone | 828-325-5850
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Fax | 828-325-5852
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIZABETH F. BEADLE
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Credential | DC, DIPL.AC(NCCAOM)
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Telephone | 828-325-5850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 017990
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | NC2382
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License Number State | NC
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