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General NPI Number Information
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NPI Number | 1053548024
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Entity Type | Individual
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Provider Name | CORTLAND P NEUHOFF D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 233 HYDRAULIC RIDGE RD SUITE 102
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-8129
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Country | US
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Telephone | 434-981-3074
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Fax | 434-973-5836
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Provider Business Mailing Address
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Address Line | PO BOX 316
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-0316
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Country | US
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Telephone | 434-981-3074
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Fax | 434-973-5836
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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 | 0104556641
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License Number State | VA
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