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General NPI Number Information
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NPI Number | 1548872930
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Entity Type | Organization
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Legal Business Name | SIMPLY CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 116 BASS LAKE RD
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-7620
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Country | US
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Telephone | 919-762-5034
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Fax |
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Provider Business Mailing Address
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Address Line | 2424 AVERON DR
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-5578
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Country | US
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Telephone | 919-285-6448
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL ATKIN
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Credential | DC
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Telephone | 919-762-5034
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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 |
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License Number State |
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