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General NPI Number Information
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NPI Number | 1821160052
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Entity Type | Organization
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Legal Business Name | JPB HEALTHCARE PC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 06/24/2014
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Provider Practice Location Address
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Address Line | 2551 S CHURCH ST
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City | BURLINGTON
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State | NC
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Zip | 27215-5203
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Country | US
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Telephone | 336-586-0101
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Fax | 336-586-0109
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Provider Business Mailing Address
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Address Line | PO BOX 365
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City | ELON
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State | NC
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Zip | 27244-0365
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Country | US
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Telephone | 336-586-0101
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Fax | 336-586-0109
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN PATRICK BESHEL
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Credential | DC
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Telephone | 336-586-0101
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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 | 2769
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License Number State | NC
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