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General NPI Number Information
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NPI Number | 1801801147
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Entity Type | Individual
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Provider Name | JILL PIVNICK DOWNEY D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 204 N STATE ST
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City | YADKINVILLE
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State | NC
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Zip | 27055-5371
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Country | US
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Telephone | 336-679-8500
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Fax | 336-677-8536
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Provider Business Mailing Address
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Address Line | PO BOX 614
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City | YADKINVILLE
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State | NC
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Zip | 27055-0614
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Country | US
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Telephone | 336-679-8500
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Fax | 336-677-8536
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4175
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License Number State | NC
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