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General NPI Number Information
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NPI Number | 1841247640
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Entity Type | Organization
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Legal Business Name | LABELLE CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 1152B HAYWOOD RD
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City | GREENVILLE
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State | SC
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Zip | 29615-2289
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Country | US
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Telephone | 864-234-5678
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Fax | 864-286-9865
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Provider Business Mailing Address
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Address Line | 1152B HAYWOOD RD
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City | GREENVILLE
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State | SC
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Zip | 29615-2289
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Country | US
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Telephone | 864-234-5678
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Fax | 864-286-9865
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Authorized Official
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Title or Position | OWNER
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Name | SHAWN V LABELLE
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Credential | DC
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Telephone | 864-234-5678
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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 | 1284
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License Number State | SC
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