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NPI 1881796332

NPI 1881796332 : LAFAYETTE BRIGGS JR. D.C., : COLUMBIA, SC

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General NPI Number Information
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    NPI Number           |    1881796332
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    Entity Type          |    Individual 
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    Provider Name        |    LAFAYETTE BRIGGS JR. D.C.,
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/04/2006
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    Last Update Date     |    11/08/2017
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Provider Practice Location Address
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    Address Line         |    6941 N TRENHOLM RD 
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    City                 |    COLUMBIA
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    State                |    SC
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    Zip                  |    29206-1715
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    Country              |    US
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    Telephone            |    803-764-3072
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    Fax                  |    803-764-5362
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Provider Business Mailing Address
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    Address Line         |    PO BOX 91101 
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    City                 |    COLUMBIA
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    State                |    SC
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    Zip                  |    29290-2101
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    Country              |    US
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    Telephone            |    803-764-3072
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    Fax                  |    803-764-5362
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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       |    1206
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    License Number State |    SC
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