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General NPI Number Information
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NPI Number | 1710323118
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Entity Type | Organization
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Legal Business Name | BRIGGS CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 05/13/2013
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 6941 N TRENHOLM RD STE O101
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City | COLUMBIA
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State | SC
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Zip | 29206-1715
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Country | US
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Telephone | 803-764-3072
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Fax | 803-764-5362
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Provider Business Mailing Address
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Address Line | PO BOX 91101
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City | COLUMBIA
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State | SC
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Zip | 29290-2101
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Country | US
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Telephone | 803-764-3072
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Fax | 803-764-5362
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. LAFAYETTE BRIGGS JR.
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Credential | DC
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Telephone | 803-764-3072
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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 | 1206
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License Number State | SC
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