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General NPI Number Information
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NPI Number | 1174515191
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Entity Type | Individual
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Provider Name | TERENCE KELLY KEARNEY D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE BLDG 9
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-295-6595
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Fax |
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Provider Business Mailing Address
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Address Line | 21548 KOUROS CT
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City | ASHBURN
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State | VA
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Zip | 20147-5820
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Country | US
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Telephone | 703-723-3912
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 20657
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License Number State | CA
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