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General NPI Number Information
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NPI Number | 1023213212
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Entity Type | Organization
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Legal Business Name | THE SHENANDOAH CLINIC OF CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 2040 DEYERLE AVE SUITE 103
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City | HARRISONBURG
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State | VA
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Zip | 22801
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Country | US
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Telephone | 540-442-8555
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Fax | 540-442-9555
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Provider Business Mailing Address
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Address Line | 2040 DEYERLE AVE SUITE 103
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City | HARRISONBURG
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State | VA
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Zip | 22801
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Country | US
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Telephone | 540-442-8555
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Fax | 540-442-9555
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Authorized Official
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Title or Position | MANAGE
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Name | DR. JONATHAN D CLAAR
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Credential | D.C.
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Telephone | 540-442-8555
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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 | 0104556298
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License Number State | VA
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