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General NPI Number Information
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NPI Number | 1205007960
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Entity Type | Organization
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Legal Business Name | DR RICK J JAMINET, PC
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 09/05/2013
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Provider Practice Location Address
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Address Line | 20607 TIMBERLAKE RD SUITE A
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City | LYNCHBURG
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State | VA
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Zip | 24502-7206
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Country | US
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Telephone | 434-239-9077
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Fax | 434-239-4346
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Provider Business Mailing Address
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Address Line | PO BOX 4127
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City | ROANOKE
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State | VA
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Zip | 24015-0127
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Country | US
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Telephone | 540-981-9394
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Fax | 540-344-7154
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICK J JAMINET
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Credential | DC
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Telephone | 434-239-9077
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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 | 0104000743
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License Number State | VA
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