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General NPI Number Information
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NPI Number | 1932288263
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Entity Type | Organization
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Legal Business Name | DURKIN CHIROPRACTIC CENTER PLLC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 611 N CENTRAL AVE
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City | BELMONT
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State | NC
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Zip | 28012-3151
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Country | US
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Telephone | 704-810-9333
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Fax | 704-829-5700
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Provider Business Mailing Address
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Address Line | 611 N CENTRAL AVE
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City | BELMONT
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State | NC
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Zip | 28012-3151
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Country | US
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Telephone | 704-810-9333
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Fax | 704-829-5700
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Authorized Official
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Title or Position | OWNER
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Name | DAVID MARTIN DURKIN
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Credential | DC
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Telephone | 704-810-9333
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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 | 2653
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License Number State | NC
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