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General NPI Number Information
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NPI Number | 1659770477
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Entity Type | Organization
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Legal Business Name | WAY TO WELLNESS,INC
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 644 STATESVILLE BLVD STE 3
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City | SALISBURY
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State | NC
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Zip | 28144
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Country | US
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Telephone | 704-798-9802
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Fax | 704-798-9802
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Provider Business Mailing Address
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Address Line | 644 STATESVILLE BLVD STE 3
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City | SALISBURY
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State | NC
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Zip | 28144-2281
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Country | US
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Telephone | 704-798-9802
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Fax | 704-310-5715
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA PELAR JENNINGS
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Credential | DC
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Telephone | 704-798-9802
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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 | 2974
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License Number State | NC
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