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General NPI Number Information
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NPI Number | 1265699961
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Entity Type | Organization
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Legal Business Name | HARRISONBURG FAMILY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 117 N HIGH ST
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City | HARRISONBURG
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State | VA
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Zip | 22802-3812
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Country | US
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Telephone | 540-434-5720
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Fax | 540-434-4068
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Provider Business Mailing Address
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Address Line | 117 N HIGH ST
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City | HARRISONBURG
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State | VA
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Zip | 22802-3812
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Country | US
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Telephone | 540-434-5720
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Fax | 540-434-4068
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Authorized Official
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Title or Position | OWNER / SOLE MBR
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Name | DR. LINCOLN DOUGLAS LOUCKS
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Credential | D.C.
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Telephone | 540-434-5720
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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 |
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License Number State |
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