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General NPI Number Information
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NPI Number | 1558185264
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Entity Type | Individual
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Provider Name | JENNIFER DORIOTT DC
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Gender | Female
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Dates
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Enumeration Date | 11/09/2024
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Last Update Date | 11/09/2024
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Provider Practice Location Address
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Address Line | 8415 PIT STOP CT NW STE 102
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City | CONCORD
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State | NC
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Zip | 28027-8248
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Country | US
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Telephone | 980-746-3112
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Fax |
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Provider Business Mailing Address
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Address Line | 8415 PIT STOP CT NW STE 102
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City | CONCORD
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State | NC
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Zip | 28027-8248
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Country | US
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Telephone |
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 4271
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License Number State | NC
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