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General NPI Number Information
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NPI Number | 1568638310
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Entity Type | Organization
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Legal Business Name | ASHEVILLE CENTER FOR HEALTHY LIVING, PLLC
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 188 CHARLOTTE ST SUITE 1
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City | ASHEVILLE
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State | NC
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Zip | 28801-1908
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Country | US
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Telephone | 828-253-1727
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Fax | 828-707-9440
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Provider Business Mailing Address
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Address Line | 188 CHARLOTTE ST SUITE 1
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City | ASHEVILLE
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State | NC
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Zip | 28801-1908
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Country | US
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Telephone | 828-253-1727
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Fax | 828-707-9440
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Authorized Official
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Title or Position | MANAGER
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Name | DR. RUSSEL HUGH SHER
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Credential | DC
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Telephone | 828-253-1727
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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 | 3223
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License Number State | NC
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