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General NPI Number Information
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NPI Number | 1649348764
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Entity Type | Organization
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Legal Business Name | HAMMER CHIROPRACTIC INC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3123 SUNSET AVENUE
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City | ROCKY MOUNT
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State | NC
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Zip | 27804
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Country | US
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Telephone | 252-443-7400
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Fax | 252-443-9519
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Provider Business Mailing Address
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Address Line | PO BOX 8077
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City | ROCKY MOUNT
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State | NC
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Zip | 27804
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Country | US
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Telephone | 252-443-7400
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Fax | 252-443-9519
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. TRACI D CLARK
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Credential | DC CCSP
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Telephone | 252-443-7400
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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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