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General NPI Number Information
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NPI Number | 1366613044
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Entity Type | Organization
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Legal Business Name | DOROTHY A. FENSTERER, D.C., P.C.
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 103 MAIN ST
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City | SOUTH BOSTON
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State | VA
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Zip | 24592-4623
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Country | US
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Telephone | 434-575-6470
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Fax | 434-575-6471
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | SOUTH BOSTON
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State | VA
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Zip | 24592-0247
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Country | US
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Telephone | 434-575-6470
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Fax | 434-575-6471
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOROTHY A. FENSTERER
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Credential | D.C.
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Telephone | 434-575-6470
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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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