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General NPI Number Information
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NPI Number | 1891763397
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Entity Type | Individual
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Provider Name | WINSLOW SCHOCK DC
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 419 E MAIN ST
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City | ROCK HILL
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State | SC
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Zip | 29730-5320
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Country | US
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Telephone | 803-366-6100
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Fax | 803-366-4337
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Provider Business Mailing Address
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Address Line | PO BOX 10470
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City | ROCK HILL
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State | SC
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Zip | 29731-0470
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Country | US
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Telephone | 803-366-6100
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Fax | 803-366-4337
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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 | 1510
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License Number State | SC
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