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General NPI Number Information
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NPI Number | 1538265384
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Entity Type | Organization
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Legal Business Name | AMMONS CHIROPRACTIC PC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 1401 GREENWAY CT
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City | SANFORD
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State | NC
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Zip | 27330-6954
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Country | US
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Telephone | 919-774-6111
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Fax | 919-774-9587
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Provider Business Mailing Address
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Address Line | 1401 GREENWAY CT
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City | SANFORD
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State | NC
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Zip | 27330-6954
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Country | US
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Telephone | 919-774-6111
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Fax | 919-774-9587
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Authorized Official
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Title or Position | CEO
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Name | DR. DARYL LYNN AMMONS
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Credential | D.C.
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Telephone | 919-774-6111
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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 | 1154
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License Number State | NC
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