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General NPI Number Information
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NPI Number | 1720461098
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Entity Type | Organization
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Legal Business Name | ALIGNED HEALTH, LLC
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Dates
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Enumeration Date | 07/06/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 4021 PERCIVAL RD APT 914
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City | COLUMBIA
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State | SC
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Zip | 29229-8370
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Country | US
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Telephone | 803-626-7150
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 83
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City | STATE PARK
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State | SC
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Zip | 29147-0083
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Country | US
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Telephone | 803-626-7150
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. CHERRON JENKINS
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Credential | D.C.
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Telephone | 843-276-1563
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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 | 3222
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License Number State | SC
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