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General NPI Number Information
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NPI Number | 1427674233
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Entity Type | Organization
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Legal Business Name | MERRIFIELD FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 06/18/2020
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 2750 PROSPERITY AVE STE 120
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City | FAIRFAX
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State | VA
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Zip | 22031-4336
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Country | US
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Telephone | 703-220-6342
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Fax |
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Provider Business Mailing Address
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Address Line | 2750 PROSPERITY AVE STE 120
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City | FAIRFAX
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State | VA
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Zip | 22031-4336
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAHTA HARIRINIA
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Credential | DC
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Telephone | 703-220-6342
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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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