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General NPI Number Information
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NPI Number | 1902751696
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Entity Type | Organization
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Legal Business Name | GVR CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 10716 CARMEL COMMONS BLVD STE 130
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City | CHARLOTTE
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State | NC
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Zip | 28226-3926
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Country | US
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Telephone | 704-610-5366
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Fax |
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Provider Business Mailing Address
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Address Line | 2626 GLENWOOD AVE STE 550
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City | RALEIGH
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State | NC
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Zip | 27608-1370
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ MEMBER
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Name | GRANT RIVERA
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Credential | DC
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Telephone | 305-528-5755
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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 |
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License Number State |
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