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General NPI Number Information
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NPI Number | 1225180706
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Entity Type | Organization
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Legal Business Name | SPINAL CORRECTION CENTER OF RICHMOND PLLC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 8536 PATTERSON AVE.
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City | RICHMOND
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State | VA
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Zip | 23229
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Country | US
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Telephone | 804-740-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 8536 PATTERSON AVE.
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City | RICHMOND
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State | VA
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Zip | 23229
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Country | US
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Telephone | 804-740-9300
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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. MICHAEL C MULVANEY
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Credential | D.C.
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Telephone | 804-740-9300
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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 | 0104556046
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License Number State | VA
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