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General NPI Number Information
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NPI Number | 1174739809
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Entity Type | Organization
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Legal Business Name | KAMPER CHIROPRACTIC & REHABILITATION INC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 2846 GARBER WAY
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City | WOODBRIDGE
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State | VA
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Zip | 22192
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Country | US
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Telephone | 703-878-0700
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Fax | 703-878-1388
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Provider Business Mailing Address
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Address Line | 2846 GARBER WAY
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City | WOODBRIDGE
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State | VA
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Zip | 22192
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Country | US
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Telephone | 703-878-0700
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Fax | 703-878-1388
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Authorized Official
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Title or Position | CFO
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Name | CASEY HOLM
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Credential |
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Telephone | 713-829-7506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 0104555702
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License Number State | VA
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