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General NPI Number Information
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NPI Number | 1649298217
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Entity Type | Organization
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Legal Business Name | RODULFO CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 4113 LAWNDALE DR
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City | GREENSBORO
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State | NC
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Zip | 27455-1889
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Country | US
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Telephone | 336-660-0019
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Fax | 336-235-0754
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Provider Business Mailing Address
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Address Line | 4113 LAWNDALE DR
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City | GREENSBORO
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State | NC
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Zip | 27455-1889
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Country | US
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Telephone | 336-235-4530
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Fax | 336-235-0754
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DAMIEN JUDE RODULFO
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Credential | DC
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Telephone | 336-235-4530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 3242
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License Number State | NC
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