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General NPI Number Information
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NPI Number | 1194922708
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Entity Type | Organization
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Legal Business Name | MICHAEL E BLUMBERG DC
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 3850 GASKINS RD SUITE 100
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City | RICHMOND
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State | VA
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Zip | 23233-1447
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Country | US
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Telephone | 804-290-8080
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Fax | 804-290-8081
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Provider Business Mailing Address
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Address Line | 3850 GASKINS RD SUITE 100
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City | RICHMOND
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State | VA
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Zip | 23233-1447
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Country | US
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Telephone | 804-290-8080
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Fax | 804-290-8081
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL E BLUMBERG
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Credential | DC
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Telephone | 804-290-8080
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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 | 0104555756
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License Number State | VA
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