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General NPI Number Information
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NPI Number | 1811786015
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Entity Type | Individual
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Provider Name | EVAN FRALEY DC
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Gender | Male
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 1855 E MAIN ST STE 18
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City | SPARTANBURG
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State | SC
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Zip | 29307-2326
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Country | US
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Telephone | 864-532-5165
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Fax |
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Provider Business Mailing Address
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Address Line | 767 BERRY RD
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City | BOILING SPRINGS
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State | SC
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Zip | 29316-9643
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Country | US
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Telephone |
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Fax |
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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 | 5184
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License Number State | SC
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