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General NPI Number Information
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NPI Number | 1063596807
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Entity Type | Organization
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Legal Business Name | ALEXANDRIA BACK & NECK CENTER
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 7770 RICHMOND HWY STE D
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City | ALEXANDRIA
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State | VA
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Zip | 22306-2859
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Country | US
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Telephone | 703-360-1011
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Fax | 703-360-1075
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Provider Business Mailing Address
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Address Line | 7770 RICHMOND HWY STE D
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City | ALEXANDRIA
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State | VA
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Zip | 22306-2859
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Country | US
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Telephone | 703-360-1011
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Fax | 703-360-1075
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Authorized Official
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Title or Position | OWNER
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Name | DR. CURTIS C. MARGERUM
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Credential | D.C.
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Telephone | 703-360-1011
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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 | 0104000973
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License Number State | VA
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