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NPI 1366246019

NPI 1366246019 : PEAKS VIEW CHIROPRACTIC AND ACUPUNCTURE, PLLC : BEDFORD, VA

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General NPI Number Information
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    NPI Number           |    1366246019
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    Entity Type          |    Organization 
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    Legal Business Name  |    PEAKS VIEW CHIROPRACTIC AND ACUPUNCTURE, PLLC 
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Dates
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    Enumeration Date     |    04/02/2025
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    Last Update Date     |    04/02/2025
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Provider Practice Location Address
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    Address Line         |    1508 LONGWOOD AVE 
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    City                 |    BEDFORD
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    State                |    VA
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    Zip                  |    24523-2209
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    Country              |    US
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    Telephone            |    540-583-5749
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1239 OAKWOOD ST 
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    City                 |    BEDFORD
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    State                |    VA
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    Zip                  |    24523-1611
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    Country              |    US
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    Telephone            |    276-613-2729
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. WENDY  WILLIS 
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    Credential           |    DC
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    Telephone            |    276-613-2729
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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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