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NPI 1538332606

NPI 1538332606 : LIRINGIS CHIROPRACTIC CLINIC, PA : WINSTON SALEM, NC

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General NPI Number Information
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    NPI Number           |    1538332606
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIRINGIS CHIROPRACTIC CLINIC, PA 
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Dates
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    Enumeration Date     |    04/09/2008
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    Last Update Date     |    04/09/2008
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Provider Practice Location Address
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    Address Line         |    3570 VEST MILL RD SUITE B
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    City                 |    WINSTON SALEM
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    State                |    NC
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    Zip                  |    27103-2963
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    Country              |    US
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    Telephone            |    336-768-1004
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    Fax                  |    336-659-1373
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Provider Business Mailing Address
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    Address Line         |    3570 VEST MILL RD SUITE B
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    City                 |    WINSTON SALEM
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    State                |    NC
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    Zip                  |    27103-2963
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    Country              |    US
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    Telephone            |    336-768-1004
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    Fax                  |    336-659-1373
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. STEVEN GEORGE LIRINGIS 
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    Credential           |    DC
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    Telephone            |    336-299-3230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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