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NPI 1114272895

NPI 1114272895 : RIVERMONT CHIROPRACTIC, INC. : LYNCHBURG, VA

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General NPI Number Information
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    NPI Number           |    1114272895
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    Entity Type          |    Organization 
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    Legal Business Name  |    RIVERMONT CHIROPRACTIC, INC. 
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Dates
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    Enumeration Date     |    07/18/2012
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    Last Update Date     |    07/18/2012
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Provider Practice Location Address
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    Address Line         |    2915 RIVERMONT AVE 
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    City                 |    LYNCHBURG
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    State                |    VA
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    Zip                  |    24503-1407
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    Country              |    US
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    Telephone            |    434-845-8858
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    Fax                  |    434-845-8857
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Provider Business Mailing Address
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    Address Line         |    2915 RIVERMONT AVE 
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    City                 |    LYNCHBURG
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    State                |    VA
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    Zip                  |    24503-1407
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    Country              |    US
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    Telephone            |    434-845-8858
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    Fax                  |    434-845-8857
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Authorized Official
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    Title or Position    |    OWNER/CHIROPRACTOR
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    Name                 |    DR. MARGARET  OSBORNE 
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    Credential           |    D.C.
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    Telephone            |    434-845-8858
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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       |    0104001603
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    License Number State |    VA
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