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General NPI Number Information
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NPI Number | 1962880575
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Entity Type | Organization
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Legal Business Name | TOTTY CHIROPRACTIC OF HENDERSONVILLE PLLC
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 1047 GLENBROOK WAY STE 112
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-1231
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Country | US
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Telephone | 615-864-4247
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Fax |
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Provider Business Mailing Address
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Address Line | 1047 GLENBROOK WAY STE 112
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-1231
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Country | US
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Telephone | 615-864-4247
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/CHIROPRACTIC PHYSICIAN
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Name | DR. MATTHEW WILLIAM BOOE
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Credential | DC
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Telephone | 615-864-4247
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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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