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General NPI Number Information
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NPI Number | 1568832871
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Entity Type | Organization
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Legal Business Name | GOOD LIFE CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 1340 MATTHEWS TOWNSHIP PKWY STE 103
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City | MATTHEWS
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State | NC
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Zip | 28105-4681
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Country | US
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Telephone | 704-847-8308
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Fax | 704-607-5026
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Provider Business Mailing Address
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Address Line | 1340 MATTHEWS TOWNSHIP PKWY STE 103
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City | MATTHEWS
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State | NC
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Zip | 28105-4681
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Country | US
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Telephone | 704-847-8308
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Fax | 704-607-5026
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Authorized Official
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Title or Position | PRESIDENT
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Name | WENDY W. PARKER
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Credential | D.C.
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Telephone | 704-847-8308
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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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