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General NPI Number Information
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NPI Number | 1972754760
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Entity Type | Organization
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Legal Business Name | CARE CHIROPRACTIC PC
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 5041 SIX FORKS RD STE 105
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City | RALEIGH
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State | NC
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Zip | 27609-4494
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Country | US
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Telephone | 919-786-9996
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Fax | 919-786-9676
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Provider Business Mailing Address
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Address Line | 5041 SIX FORKS RD STE 105
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City | RALEIGH
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State | NC
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Zip | 27609-4494
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Country | US
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Telephone | 919-786-9996
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Fax | 919-786-9676
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. FOTINE SOPHIA MYERS
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Credential | D.C.
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Telephone | 919-786-9996
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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 | 2500
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License Number State | NC
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