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General NPI Number Information
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NPI Number | 1447385463
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Entity Type | Organization
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Legal Business Name | DR. ANDREA MARCONI, LLC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 06/23/2015
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Provider Practice Location Address
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Address Line | 37185 FRANKLINS FORD PL
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City | PURCELLVILLE
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State | VA
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Zip | 20132-4082
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Country | US
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Telephone | 703-300-2014
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Fax |
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Provider Business Mailing Address
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Address Line | 37185 FRANKLINS FORD PL
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City | PURCELLVILLE
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State | VA
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Zip | 20132-4082
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Country | US
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Telephone | 703-300-2014
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREA MARCONI
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Credential | DC
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Telephone | 703-300-2014
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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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