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General NPI Number Information
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NPI Number | 1760448344
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL CHIROPRACTIC SERVICES PA
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 813 N PINE ST
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City | SPARTANBURG
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State | SC
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Zip | 29303
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Country | US
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Telephone | 864-585-2600
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Fax | 864-585-5643
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Provider Business Mailing Address
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Address Line | PO BOX 4439
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City | SPARTANBURG
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State | SC
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Zip | 29305
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Country | US
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Telephone | 864-585-2600
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Fax | 864-585-5643
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES P BELUE
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Credential | DC
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Telephone | 864-585-2600
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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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