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General NPI Number Information
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NPI Number | 1922520659
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Entity Type | Organization
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Legal Business Name | HEALING HANDS HEALTH CENTER INC
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4036 RIVER OAKS DR UNIT B3
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-6695
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Country | US
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Telephone | 843-450-7632
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Fax | 843-236-0204
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Provider Business Mailing Address
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Address Line | 4036 RIVER OAKS DR UNIT B3
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-6695
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Country | US
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Telephone | 843-450-7632
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Fax | 843-236-0204
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. KENNETH ALEXANDER ROGERS
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Credential | DC
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Telephone | 843-450-7632
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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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