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NPI 1659604692

NPI 1659604692 : WNC CHIROPRACTIC, PLLC : ASHEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1659604692
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    Entity Type          |    Organization 
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    Legal Business Name  |    WNC CHIROPRACTIC, PLLC 
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Dates
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    Enumeration Date     |    09/09/2009
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    Last Update Date     |    10/25/2010
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Provider Practice Location Address
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    Address Line         |    1998 HENDERSONVILLE RD SUITE 13
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28803-2349
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    Country              |    US
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    Telephone            |    828-687-7779
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    Fax                  |    828-687-7781
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Provider Business Mailing Address
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    Address Line         |    1998 HENDERSONVILLE RD SUITE 13
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28803-2349
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    Country              |    US
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    Telephone            |    828-687-7779
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    Fax                  |    828-687-7781
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JENNIFER LYNAE SALES 
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    Credential           |    D.C.
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    Telephone            |    828-687-7779
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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       |    3897
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    License Number State |    NC
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