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General NPI Number Information
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NPI Number | 1750586095
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Entity Type | Organization
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Legal Business Name | LOPER CHIROPRACTIC CENTER PC
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 3826 S MAIN ST
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City | FARMVILLE
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State | NC
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Zip | 27828-8548
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Country | US
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Telephone | 252-753-8020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 242
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City | FARMVILLE
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State | NC
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Zip | 27828-0242
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER T LOPER
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Credential | D.C.
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Telephone | 252-753-8020
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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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