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General NPI Number Information
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NPI Number | 1144389198
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Entity Type | Organization
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Legal Business Name | HAMPTON ROADS CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 1056 HARPERSVILLE RD
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1010
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Country | US
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Telephone | 757-596-9696
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Fax | 757-595-4742
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Provider Business Mailing Address
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Address Line | 1056 HARPERSVILLE RD
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1010
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Country | US
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Telephone | 757-596-9696
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Fax | 757-595-4742
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Authorized Official
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Title or Position | CHIRORACTOR
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Name | SCOTT E. OLNEY
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Credential | D.C.
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Telephone | 757-596-9696
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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 | 598
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License Number State | VA
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