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General NPI Number Information
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NPI Number | 1700740412
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Entity Type | Organization
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Legal Business Name | ODYSSEY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 3157 ROBERT C BYRD DR
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City | BECKLEY
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State | WV
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Zip | 25801-3724
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Country | US
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Telephone | 304-253-3489
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Fax | 304-253-3148
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Provider Business Mailing Address
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Address Line | 3157 ROBERT C BYRD DR
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City | BECKLEY
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State | WV
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Zip | 25801-3724
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Country | US
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Telephone | 304-253-3489
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Fax | 304-253-3148
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Authorized Official
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Title or Position | OWNER
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Name | TOD MICHAEL WILLIAMS
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Credential | DC
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Telephone | 304-890-0360
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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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