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General NPI Number Information
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NPI Number | 1184549438
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Entity Type | Organization
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Legal Business Name | BLT CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 880 W CHURCH RD
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City | STERLING
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State | VA
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Zip | 20164-4615
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Country | US
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Telephone | 703-444-4446
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Fax |
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Provider Business Mailing Address
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Address Line | 160 N COTTAGE RD
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City | STERLING
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State | VA
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Zip | 20164-1329
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Country | US
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Telephone | 571-265-3578
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRENT BANKS
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Credential | DC
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Telephone | 571-265-3578
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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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