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General NPI Number Information
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NPI Number | 1407126824
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Entity Type | Organization
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Legal Business Name | SIXCHIRO LLC
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Dates
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Enumeration Date | 01/02/2012
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 2121 EISENHOWER AVE STE 101
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City | ALEXANDRIA
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State | VA
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Zip | 22314-5304
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Country | US
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Telephone | 703-370-1800
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Fax | 703-370-6118
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Provider Business Mailing Address
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Address Line | 2121 EISENHOWER AVE STE 101
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City | ALEXANDRIA
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State | VA
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Zip | 22314-5304
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Country | US
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Telephone | 703-370-1800
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Fax | 703-370-6118
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. MELANIE LYNN SIX
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Credential | DC
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Telephone | 703-370-1800
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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 | 0104555987
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License Number State | VA
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