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NPI 1962589119

NPI 1962589119 : CHRISTIAN DONALD BURLEY D.C., F.A.C.O. : FOREST CITY, NC

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General NPI Number Information
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    NPI Number           |    1962589119
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTIAN DONALD BURLEY D.C., F.A.C.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/01/2006
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    Last Update Date     |    01/30/2017
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Provider Practice Location Address
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    Address Line         |    134 ALLENDALE DR 
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    City                 |    FOREST CITY
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    State                |    NC
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    Zip                  |    28043-2874
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    Country              |    US
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    Telephone            |    828-245-2442
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    218 DOGGETT RD 
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    City                 |    FOREST CITY
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    State                |    NC
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    Zip                  |    28043-8203
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    Country              |    US
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    Telephone            |    828-245-2442
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    Fax                  |    
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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        |    111NX0800X
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    Taxonomy Name        |    Orthopedic Chiropractor
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    License Number       |    2037
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    License Number State |    NC
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