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General NPI Number Information
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NPI Number | 1164369922
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Entity Type | Organization
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Legal Business Name | SPINE INJURY CENTER
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 1723 FINANCIAL LOOP
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2460
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Country | US
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Telephone | 703-371-3168
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Fax |
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Provider Business Mailing Address
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Address Line | 1723 FINANCIAL LOOP
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2460
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Country | US
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Telephone | 571-212-9981
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ALIREZA OSTOVAR
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Credential | DC
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Telephone | 240-838-3373
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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 |
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License Number State |
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