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General NPI Number Information
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NPI Number | 1194015289
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Entity Type | Organization
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Legal Business Name | COX CHIROPRACTIC WELLNESS CENTER
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 801 POINDEXTER ST SUITE 219
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City | CHESAPEAKE
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State | VA
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Zip | 23324-2358
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Country | US
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Telephone | 757-304-0575
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Fax | 757-351-1930
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Provider Business Mailing Address
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Address Line | 801 POINDEXTER ST SUITE 219
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City | CHESAPEAKE
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State | VA
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Zip | 23324-2358
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Country | US
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Telephone | 757-304-0575
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Fax | 757-351-1930
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHEENA MARIE COX
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Credential | D.C.
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Telephone | 757-304-0575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0104556792
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License Number State | VA
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