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General NPI Number Information
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NPI Number | 1346549532
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Entity Type | Organization
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Legal Business Name | WARRENTON CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 03/28/2011
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Last Update Date | 03/28/2011
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Provider Practice Location Address
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Address Line | 10 ROCK POINTE LN SUITE 6
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City | WARRENTON
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State | VA
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Zip | 20186-2672
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Country | US
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Telephone | 540-349-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 12613 VICTORY LAKES LOOP
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City | BRISTOW
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State | VA
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Zip | 20136-1274
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Country | US
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Telephone | 703-368-4040
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Fax | 703-361-1177
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT WILLIAM BREEN
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Credential | DC
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Telephone | 540-349-7744
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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 | 0104000765
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License Number State | VA
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