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General NPI Number Information
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NPI Number | 1689550907
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Entity Type | Individual
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Provider Name | EMMA REBECCA MITCHELL DC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 6829 FALLS OF NEUSE RD STE 104
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City | RALEIGH
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State | NC
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Zip | 27615-5385
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Country | US
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Telephone | 919-845-2099
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Fax |
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Provider Business Mailing Address
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Address Line | 2402 CLARK AVE APT 5
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City | RALEIGH
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State | NC
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Zip | 27607-7251
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Country | US
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Telephone | 812-946-0166
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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 | 5951
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License Number State | NC
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