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General NPI Number Information
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NPI Number | 1174905145
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Entity Type | Organization
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Legal Business Name | W & J DC LLC
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Dates
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Enumeration Date | 06/25/2015
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Last Update Date | 06/25/2015
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Provider Practice Location Address
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Address Line | 8230 BOONE BLVD SUITE 170
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City | VIENNA
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State | VA
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Zip | 22182-2621
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Country | US
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Telephone | 703-448-6928
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Fax | 703-448-7590
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Provider Business Mailing Address
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Address Line | 8230 BOONE BLVD SUITE 170
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City | VIENNA
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State | VA
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Zip | 22182-2621
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Country | US
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Telephone | 703-448-6928
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Fax | 703-448-7590
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM CHOW
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Credential | D.C.
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Telephone | 540-383-4739
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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 | 0104556935
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104556934
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License Number State | VA
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