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General NPI Number Information
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NPI Number | 1366622896
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Entity Type | Organization
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Legal Business Name | LINKHORN CHIROPRACTIC CARE PC
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 1023 LASKIN RD STE 103
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-6302
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Country | US
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Telephone | 757-227-5465
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Fax | 757-227-5725
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Provider Business Mailing Address
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Address Line | 1023 LASKIN RD STE 103
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-6302
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Country | US
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Telephone | 757-227-5465
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Fax | 757-227-5725
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. JAMES J YEATES
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Credential | D.C.
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Telephone | 757-227-5465
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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 | 0104001049
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License Number State | VA
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