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General NPI Number Information
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NPI Number | 1801236609
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Entity Type | Organization
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Legal Business Name | FRUEH CHIROPRACTIC
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 420 ALAMANCE RD STE B
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City | BURLINGTON
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State | NC
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Zip | 27215-5563
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Country | US
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Telephone | 336-228-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 420 ALAMANCE RD STE B
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City | BURLINGTON
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State | NC
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Zip | 27215-5563
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Country | US
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Telephone | 336-228-6300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEROY W FRUEH
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Credential | DC
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Telephone | 336-228-6300
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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 | 1796
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License Number State | NC
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