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General NPI Number Information
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NPI Number | 1295758464
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Entity Type | Organization
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Legal Business Name | APPLIED CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2648 VIRGINIA BEACH BLVD SUITE A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7648
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Country | US
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Telephone | 757-553-6120
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Fax |
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Provider Business Mailing Address
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Address Line | 18901 FOUNTAIN HILLS DR
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City | GERMANTOWN
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State | MD
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Zip | 20874-1872
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Country | US
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Telephone | 757-553-6120
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. BRIAN A LANCASTER
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Credential | D.C.
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Telephone | 757-553-6120
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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 | 0104555598
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License Number State | VA
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