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General NPI Number Information
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NPI Number | 1689110215
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Entity Type | Individual
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Provider Name | DANIELLE MOTLEY-JENNINGS D.C
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Gender | Female
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Dates
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Enumeration Date | 01/06/2017
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 550 SILVER BLUFF RD STE 200
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City | AIKEN
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State | SC
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Zip | 29803-7835
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Country | US
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Telephone | 864-303-2679
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Fax |
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Provider Business Mailing Address
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Address Line | 811 POLO RD APT 1722
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City | COLUMBIA
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State | SC
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Zip | 29223-4430
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Country | US
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Telephone | 803-587-1893
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4196
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License Number State | SC
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