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General NPI Number Information
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NPI Number | 1396138699
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Entity Type | Organization
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Legal Business Name | SIKES CHIROPRACTIC
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Dates
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Enumeration Date | 03/10/2015
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Last Update Date | 03/10/2015
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Provider Practice Location Address
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Address Line | 2304 KENSTOCK DR 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3354
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Country | US
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Telephone | 757-496-9698
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 SANCTUARY CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-2257
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Country | US
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Telephone | 757-496-9698
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Fax | 757-321-9073
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. BARBARA FULLLER SIKES
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Credential | D.C.
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Telephone | 757-496-9698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0304000608
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License Number State | VA
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