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General NPI Number Information
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NPI Number | 1538664792
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Entity Type | Individual
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Provider Name | JONATHAN QUINN WARD DC
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Gender | Male
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 09/24/2021
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Provider Practice Location Address
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Address Line | 31 CROSS ST STE 266
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City | SPRUCE PINE
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State | NC
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Zip | 28777-6160
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Country | US
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Telephone | 828-702-1678
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Fax |
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Provider Business Mailing Address
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Address Line | 810 SPEAKEASY LN
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City | INMAN
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State | SC
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Zip | 29349-8337
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Country | US
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Telephone | 828-702-1678
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4510
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License Number State | SC
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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 | 4882
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 4882
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 4510
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License Number State | SC
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