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General NPI Number Information
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NPI Number | 1447079918
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Entity Type | Organization
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Legal Business Name | DR HEATHER BANVILLE PLLC
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 3709 STRAWBERRY PLAINS RD STE A
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-3424
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Country | US
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Telephone | 610-331-0147
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Fax |
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Provider Business Mailing Address
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Address Line | 31 ENSIGN SPENCE
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-5558
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Country | US
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Telephone | 610-331-0147
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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. HEATHER BANVILLE
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Credential | DC
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Telephone | 757-231-5653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State |
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