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General NPI Number Information
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NPI Number | 1033784921
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Entity Type | Organization
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Legal Business Name | DALEVILLE CHIROPRACTIC INC
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 133 COMMONS PKWY
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City | DALEVILLE
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State | VA
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Zip | 24083-1712
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Country | US
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Telephone | 540-591-3430
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Fax | 540-591-3432
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Provider Business Mailing Address
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Address Line | 133 COMMONS PKWY
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City | DALEVILLE
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State | VA
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Zip | 24083-1712
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Country | US
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Telephone | 540-591-3430
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Fax | 540-591-3432
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. RUTH WADDELL
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Credential | CA
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Telephone | 540-420-8661
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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 |
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License Number State |
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