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General NPI Number Information
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NPI Number | 1669624540
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Entity Type | Organization
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Legal Business Name | MILLER CHIROPRACTIC OF ROCKY MOUNT, PC
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 1258 HOME DEPOT PLZ
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-8483
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Country | US
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Telephone | 252-446-8800
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Fax | 252-446-0080
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Provider Business Mailing Address
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Address Line | PO BOX 7067
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-0067
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Country | US
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Telephone | 252-446-8800
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Fax | 252-446-0080
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KIM D BRABBLE
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Credential |
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Telephone | 252-482-4499
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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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