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General NPI Number Information
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NPI Number | 1093970295
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Entity Type | Organization
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Legal Business Name | KLEMM CHIROPRACTIC CENTER, P.C.
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 6334 COLUMBIA PIKE
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City | FALLS CHURCH
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State | VA
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Zip | 22041-1219
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Country | US
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Telephone | 703-941-3601
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Fax |
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Provider Business Mailing Address
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Address Line | 6334 COLUMBIA PIKE
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City | FALLS CHURCH
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State | VA
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Zip | 22041-1219
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Country | US
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Telephone | 703-941-3601
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JERALD WILLIAM KLEMM
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Credential | D.C.
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Telephone | 703-941-3601
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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 | 0104000410
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License Number State | VA
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