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General NPI Number Information
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NPI Number | 1245365980
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Entity Type | Organization
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Legal Business Name | DOCTORS' CHIROPRACTIC & REHAB, PC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3536 GROVE AVE
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City | RICHMOND
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State | VA
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Zip | 23221-2200
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Country | US
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Telephone | 804-359-1768
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Fax | 804-359-8344
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Provider Business Mailing Address
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Address Line | 3536 GROVE AVE
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City | RICHMOND
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State | VA
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Zip | 23221-2200
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Country | US
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Telephone | 804-359-1768
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Fax | 804-359-8344
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Authorized Official
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Title or Position | VP
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Name | WILLIAM U ROODMAN
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Credential | DC
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Telephone | 804-359-1768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305002177
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License Number State | VA
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