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General NPI Number Information
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NPI Number | 1831291103
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Entity Type | Organization
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Legal Business Name | AXELSON CHIROPRACTIC HEALTH CENTER, P.A.
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 13550 HWY 55 E
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City | ALLIANCE
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State | NC
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Zip | 28509
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Country | US
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Telephone | 252-745-0334
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Fax | 252-745-2234
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Provider Business Mailing Address
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Address Line | PO BOX 126
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City | ALLIANCE
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State | NC
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Zip | 28509-0126
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Country | US
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Telephone | 252-745-0334
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Fax | 252-745-2234
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS J AXELSON
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Credential | D.C.
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Telephone | 252-745-0334
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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 | 2478
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License Number State | NC
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