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General NPI Number Information
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NPI Number | 1003840216
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Entity Type | Organization
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Legal Business Name | STAUNTON CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 2303 N AUGUSTA ST STE B
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City | STAUNTON
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State | VA
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Zip | 24401
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Country | US
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Telephone | 540-886-0745
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Fax | 540-887-8383
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Provider Business Mailing Address
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Address Line | 2303 N AUGUSTA ST STE B
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City | STAUNTON
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State | VA
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Zip | 24401
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Country | US
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Telephone | 540-886-0745
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Fax | 540-887-8383
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Authorized Official
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Title or Position | OWNER
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Name | TERRY M PLESKONKO
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Credential | DC
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Telephone | 540-886-0745
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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 | 0104000537
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License Number State | VA
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