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General NPI Number Information
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NPI Number | 1033851811
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Entity Type | Individual
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Provider Name | LEANNAH AMOS DC
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Gender | Female
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 242 BUTLER RD STE 101
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-2441
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Country | US
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Telephone | 540-321-5788
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Fax |
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Provider Business Mailing Address
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Address Line | 15581 ANDOVER HEIGHTS DR
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City | WOODBRIDGE
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State | VA
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Zip | 22193-1071
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Country | US
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Telephone | 301-252-6080
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0104557987
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0019020143
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License Number State | VA
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