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General NPI Number Information
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NPI Number | 1992151625
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Entity Type | Organization
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Legal Business Name | GRACE CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 05/12/2016
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 315 S CHURCH ST C
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-6237
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Country | US
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Telephone | 828-435-2377
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Fax | 828-412-4382
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Provider Business Mailing Address
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Address Line | 315 S CHURCH ST C
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-6237
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Country | US
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Telephone | 828-435-2377
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Fax | 828-412-4382
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREA RATHBONE
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Credential | D.C.
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Telephone | 828-708-8808
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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 | 4476
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License Number State | NC
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