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NPI 1831374925

NPI 1831374925 : WHETSEL CHIROPRACTIC : BISHOPVILLE, SC

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General NPI Number Information
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    NPI Number           |    1831374925
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    Entity Type          |    Organization 
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    Legal Business Name  |    WHETSEL CHIROPRACTIC 
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Dates
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    Enumeration Date     |    01/08/2008
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    Last Update Date     |    01/08/2008
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Provider Practice Location Address
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    Address Line         |    134 E CHURCH ST 
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    City                 |    BISHOPVILLE
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    State                |    SC
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    Zip                  |    29010-1726
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    Country              |    US
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    Telephone            |    803-484-9290
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    134 E CHURCH ST 
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    City                 |    BISHOPVILLE
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    State                |    SC
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    Zip                  |    29010-1726
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    Country              |    US
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    Telephone            |    803-484-9290
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. CARL D. WHETSEL 
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    Credential           |    DC
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    Telephone            |    803-484-9290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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