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General NPI Number Information
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NPI Number | 1356632863
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Entity Type | Organization
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Legal Business Name | ASHBURN CHIROPRACTIC & REHAB CENTER, P.C.
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 44121 HARRY BYRD HWY SUITE 125
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City | ASHBURN
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State | VA
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Zip | 20147-5667
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Country | US
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Telephone | 703-723-0000
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Fax | 703-723-0058
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Provider Business Mailing Address
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Address Line | 44121 HARRY BYRD HWY SUITE 125
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City | ASHBURN
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State | VA
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Zip | 20147-5667
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Country | US
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Telephone | 703-723-0000
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Fax | 703-723-0058
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MOHAMMAD YOUSEFI
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Credential | D.C.
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Telephone | 703-723-0000
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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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