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General NPI Number Information
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NPI Number | 1669632113
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Entity Type | Organization
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Legal Business Name | CARVER CHIROPRACTIC INC
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 2885 MCCULLOUGH BLVD SUITE E
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City | BELDEN
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State | MS
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Zip | 38826-9001
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Country | US
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Telephone | 662-350-3308
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Fax | 662-350-3307
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Provider Business Mailing Address
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Address Line | 2885 MCCULLOUGH BLVD SUITE E
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City | BELDEN
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State | MS
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Zip | 38826-9001
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Country | US
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Telephone | 662-350-3308
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Fax | 662-350-3307
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER LEE CARVER
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Credential | D.C.
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Telephone | 662-350-3308
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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 | 1131
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License Number State | MS
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