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General NPI Number Information
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NPI Number | 1992211429
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Entity Type | Organization
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Legal Business Name | KRU CHIROPRACTIC & WELLNESS
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Dates
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Enumeration Date | 12/20/2017
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Last Update Date | 12/26/2018
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Provider Practice Location Address
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Address Line | 5001 N KINGS HWY STE 204
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-2556
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Country | US
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Telephone | 843-999-1805
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Fax | 855-277-9141
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Provider Business Mailing Address
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Address Line | 5187 HORRY DR UNIT B
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City | MURRELLS INLET
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State | SC
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Zip | 29576-5242
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. KATIE ULAM
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Credential | DC
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Telephone | 843-999-1805
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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 | 3832
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License Number State | SC
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