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General NPI Number Information
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NPI Number | 1174611016
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Entity Type | Organization
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Legal Business Name | LESLIE HOLCOMBE D.C., P.C., T/A
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4600 KING ST SUITE 2L
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City | ALEXANDRIA
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State | VA
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Zip | 22302-1277
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Country | US
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Telephone | 703-933-9000
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Fax | 703-933-9166
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Provider Business Mailing Address
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Address Line | 4600 KING ST SUITE 2L
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City | ALEXANDRIA
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State | VA
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Zip | 22302-1277
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Country | US
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Telephone | 703-933-9000
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Fax | 703-933-9166
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | LESLIE HOLCOMBE
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Credential | DC
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Telephone | 703-933-9000
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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 | 0104002076
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License Number State | VA
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