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General NPI Number Information
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NPI Number | 1346644994
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Entity Type | Organization
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Legal Business Name | MIN CHIROPRACTIC & REHABILITATION LLC
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Dates
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Enumeration Date | 10/10/2014
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 611 ROCKVILLE PIKE STE 150
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City | ROCKVILLE
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State | MD
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Zip | 20852-6205
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Country | US
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Telephone | 301-279-6960
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Fax | 301-279-6962
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Provider Business Mailing Address
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Address Line | 611 ROCKVILLE PIKE STE 150
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City | ROCKVILLE
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State | MD
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Zip | 20852-6205
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Country | US
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Telephone | 301-279-6960
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Fax | 301-279-6962
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Authorized Official
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Title or Position | OWNER
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Name | HYUNGK MIN
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Credential |
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Telephone | 301-279-6960
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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 | 03534
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License Number State | MD
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