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General NPI Number Information
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NPI Number | 1750563953
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC WELLNESS CENTER
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 226 HIGHWAY 35 N
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City | CARTHAGE
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State | MS
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Zip | 39051-4016
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Country | US
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Telephone | 601-267-3996
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Fax | 601-267-9431
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Provider Business Mailing Address
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Address Line | 226 HIGHWAY 35 N
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City | CARTHAGE
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State | MS
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Zip | 39051-4016
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Country | US
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Telephone | 601-267-3996
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Fax | 601-267-9431
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Authorized Official
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Title or Position | ASSISTANT
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Name | MS. DONNA LEE PAAP
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Credential | CA
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Telephone | 601-267-3996
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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 | 1067
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License Number State | MS
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