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General NPI Number Information
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NPI Number | 1184653032
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Entity Type | Individual
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Provider Name | MARK E. BRYNGELSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 147 GARRISONVILLE RD
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City | STAFFORD
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State | VA
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Zip | 22554-1523
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Country | US
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Telephone | 540-720-6000
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Fax | 540-288-1913
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Provider Business Mailing Address
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Address Line | 147 GARRISONVILLE RD
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City | STAFFORD
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State | VA
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Zip | 22554-1523
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Country | US
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Telephone | 540-720-6000
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Fax | 540-288-1913
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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 | 010400199
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License Number State | VA
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