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General NPI Number Information
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NPI Number | 1760892103
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Entity Type | Organization
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Legal Business Name | THRIVE FAMILY CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 16631 LANCASTER HWY SUITE 108
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City | CHARLOTTE
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State | NC
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Zip | 28277-3598
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Country | US
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Telephone | 980-237-7646
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Fax | 980-237-0819
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Provider Business Mailing Address
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Address Line | 16631 LANCASTER HWY SUITE 108
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City | CHARLOTTE
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State | NC
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Zip | 28277-3598
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Country | US
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Telephone | 980-237-7646
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Fax | 980-237-0819
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILL MOSBEY
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Credential | D.C.
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Telephone | 980-237-7646
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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 | 3835
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License Number State | NC
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