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General NPI Number Information
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NPI Number | 1225397292
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Entity Type | Organization
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Legal Business Name | SPINAL HEALTH GROUP, LLC
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 5413 BACKLICK RD SUITE E
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City | SPRINGFIELD
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State | VA
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Zip | 22151-3915
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Country | US
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Telephone | 703-333-2848
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Fax | 703-333-2016
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Provider Business Mailing Address
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Address Line | 5413 BACKLICK RD SUITE E
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City | SPRINGFIELD
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State | VA
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Zip | 22151-3915
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Country | US
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Telephone | 703-333-2848
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Fax | 703-333-2016
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DR. HOI HUYNH
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Credential | FIAMA
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Telephone | 703-333-2848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0104002096
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License Number State | VA
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