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General NPI Number Information
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NPI Number | 1043532732
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Entity Type | Individual
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Provider Name | ANGELA CORINNE DARLING D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 12650 LAKE RIDGE DR STE B
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2394
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Country | US
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Telephone | 571-432-8001
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Fax | 703-490-3575
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Provider Business Mailing Address
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Address Line | 12650 LAKE RIDGE DR STE B
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2394
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Country | US
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Telephone | 571-432-8001
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Fax | 703-490-3575
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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 | 0104556767
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License Number State | VA
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