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General NPI Number Information
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NPI Number | 1033147798
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Entity Type | Organization
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Legal Business Name | ALLIANCE CHIROPRACTIC & REHABILITATION
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 2020 S INDEPENDENCE BLVD SUITE 6
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-4776
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Country | US
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Telephone | 757-460-7870
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Fax | 757-460-7871
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Provider Business Mailing Address
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Address Line | 2020 S INDEPENDENCE BLVD SUITE 6
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-4776
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Country | US
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Telephone | 757-460-7870
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Fax | 757-460-7871
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ARTURO BUSANTE GONZALEZ II
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Credential | D.C.
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Telephone | 757-460-7870
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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 | 0104556350
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License Number State | VA
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