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General NPI Number Information
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NPI Number | 1760136261
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Entity Type | Organization
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Legal Business Name | KALANI CHIROPRACTIC
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 635 E BAY ST STE 1A
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City | CHARLESTON
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State | SC
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Zip | 29403-5641
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Country | US
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Telephone | 843-277-4885
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Fax |
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Provider Business Mailing Address
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Address Line | 2633 DELLWOOD AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-6813
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Country | US
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Telephone | 843-277-4885
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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. SARAH KALANI WHARTON
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Credential | DC
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Telephone | 843-277-4885
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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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