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General NPI Number Information
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NPI Number | 1750231932
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Entity Type | Organization
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Legal Business Name | COMMUNITY CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 9344 THREE RIVERS RD
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City | GULFPORT
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State | MS
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Zip | 39503-4268
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Country | US
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Telephone | 228-865-9898
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Fax | 228-863-5616
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Provider Business Mailing Address
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Address Line | 9344 THREE RIVERS RD
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City | GULFPORT
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State | MS
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Zip | 39503-4268
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Country | US
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Telephone | 228-865-9898
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Fax | 228-863-5616
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | LELAND ELCHOS
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Credential | DC
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Telephone | 228-806-7437
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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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