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General NPI Number Information
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NPI Number | 1396096350
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Entity Type | Individual
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Provider Name | DANIEL TIMOTHY MONAGHAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/30/2012
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 1110 N GLEBE RD SUITE 1010
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City | ARLINGTON
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State | VA
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Zip | 22201-4795
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Country | US
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Telephone | 215-432-1175
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14416
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City | PHILADELPHIA
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State | PA
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Zip | 19115-0416
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Country | US
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Telephone | 215-432-1175
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0104557007
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License Number State | VA
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