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General NPI Number Information
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NPI Number | 1033580386
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Entity Type | Organization
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Legal Business Name | TOWNCENTER CHIROPRACTIC AT BRAMBLETON LLC
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 22895 BRAMBLETON PLZ SUITE 200
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City | BRAMBLETON
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State | VA
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Zip | 20148-4876
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Country | US
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Telephone | 703-220-0779
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Fax | 703-722-2317
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Provider Business Mailing Address
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Address Line | 22895 BRAMBLETON PLZ SUITE 200
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City | BRAMBLETON
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State | VA
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Zip | 20148-4876
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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/AUTHORIZED OFFICIAL
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Name | DR. STEVEN LEVY
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Credential | DC
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Telephone | 703-220-0779
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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 | 0104001425
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License Number State | VA
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