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General NPI Number Information
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NPI Number | 1982830949
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Entity Type | Organization
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Legal Business Name | ACTIVE PEOPLE CHIROPRACTIC
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Dates
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Enumeration Date | 06/04/2009
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Last Update Date | 06/04/2009
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Provider Practice Location Address
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Address Line | 325 1ST AVE SW
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City | HICKORY
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State | NC
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Zip | 28602-2940
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Country | US
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Telephone | 828-256-0222
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Fax | 828-256-0221
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Provider Business Mailing Address
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Address Line | 325 1ST AVE SW
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City | HICKORY
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State | NC
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Zip | 28602
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Country | US
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Telephone | 828-256-0222
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Fax | 828-256-0221
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. WILLIAM AARON DAVIS
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Credential | DC
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Telephone | 828-256-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 3911
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License Number State | NC
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