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General NPI Number Information
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NPI Number | 1790634608
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Entity Type | Organization
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Legal Business Name | ROTH CHIROPRACTIC LLC
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 101 GARDEN OF EDEN RD
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City | WILMINGTON
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State | DE
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Zip | 19803-1511
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Country | US
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Telephone | 252-347-3955
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7165
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City | WILMINGTON
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State | DE
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Zip | 19803-0165
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Country | US
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Telephone | 252-347-3955
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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. ZACHARY JAMES ROTH
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Credential | DC
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Telephone | 252-347-3955
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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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