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General NPI Number Information
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NPI Number | 1578731402
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC OF THE CAROLINAS
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 215 BATESVILLE RD SUITE A
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-4816
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Country | US
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Telephone | 864-987-5541
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Fax |
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Provider Business Mailing Address
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Address Line | 215 BATESVILLE RD SUITE A
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-4816
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Country | US
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Telephone | 864-987-5541
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/TREASURER
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Name | DR. ERIC ANDREW WEILER
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Credential | DC
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Telephone | 864-991-7676
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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 | 3310
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License Number State | SC
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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 | 3294
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License Number State | SC
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