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General NPI Number Information
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NPI Number | 1619606902
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Entity Type | Organization
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Legal Business Name | THE FIX HENDERSONVILLE PLLC
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 211 INDIAN LAKE BLVD STE B
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-6443
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Country | US
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Telephone | 850-371-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 211 INDIAN LAKE BLVD STE B
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-6443
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Country | US
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Telephone | 850-371-2424
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENNETH STOHR JR.
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Credential | D.C.
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Telephone | 850-371-2424
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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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