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General NPI Number Information
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NPI Number | 1083804207
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER BROWN CHIROPRACTIC PC
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 699 E RIVERSIDE DR
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City | N TAZEWELL
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State | VA
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Zip | 24630-9577
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Country | US
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Telephone | 276-988-4265
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 476
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City | N TAZEWELL
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State | VA
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Zip | 24630-0476
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Country | US
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Telephone | 276-988-4265
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER ROBERT BROWN
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Credential |
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Telephone | 276-988-4265
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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 | 0104002028
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License Number State | VA
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