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NPI 1568749596

NPI 1568749596 : DAWN LACHELLE SYKES DC, CICE : CAMP LEJEUNE, NC

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General NPI Number Information
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    NPI Number           |    1568749596
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    Entity Type          |    Individual 
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    Provider Name        |    DAWN LACHELLE SYKES DC, CICE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/04/2011
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    Last Update Date     |    09/05/2022
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Provider Practice Location Address
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    Address Line         |    100 BREWSTER BLVD 
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    City                 |    CAMP LEJEUNE
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    State                |    NC
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    Zip                  |    28547-2575
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    Country              |    US
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    Telephone            |    910-442-0252
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    Fax                  |    910-442-0626
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Provider Business Mailing Address
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    Address Line         |    100 BREWSTER BLVD 
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    City                 |    CAMP LEJEUNE
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    State                |    NC
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    Zip                  |    28547-2575
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    Country              |    US
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    Telephone            |    910-442-0252
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    Fax                  |    910-442-0626
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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       |    CH030167DC
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    License Number State |    DC
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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       |    3624
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    License Number State |    SC
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Taxonomy #3
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    S03846
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    License Number State |    MD
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