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General NPI Number Information
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NPI Number | 1811084049
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Entity Type | Organization
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Legal Business Name | PLAZA FAMILY CHIROPRACTIC CENTER, P.A.
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 303 PLAZA DR
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City | GREENVILLE
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State | NC
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Zip | 27858-6716
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Country | US
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Telephone | 252-756-6111
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Fax | 252-756-6904
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Provider Business Mailing Address
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Address Line | 303 PLAZA DR
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City | GREENVILLE
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State | NC
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Zip | 27858-6716
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Country | US
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Telephone | 252-756-6111
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Fax | 252-756-6904
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. THOMAS C. SCHWARTZ
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Credential | D.C.
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Telephone | 252-756-6111
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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 | 1963
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License Number State | NC
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