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General NPI Number Information
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NPI Number | 1578710075
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Entity Type | Organization
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Legal Business Name | LIVE WELL FAMILY CHIROPRACTIC CENTERS, LLC
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 102 N STATESVILLE RD SUITE G
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-6076
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Country | US
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Telephone | 704-728-2101
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 363
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City | HUNTERSVILLE
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State | NC
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Zip | 28070-0363
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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 | MANAGER
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Name | DR. ERIC J MORRISON
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Credential | D.C.
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Telephone | 704-728-2101
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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 | 3837
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License Number State | NC
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