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General NPI Number Information
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NPI Number | 1447751458
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Entity Type | Individual
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Provider Name | AMERICA MONGE D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/25/2018
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Last Update Date | 02/25/2018
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Provider Practice Location Address
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Address Line | 5555 COLUMBIA PIKE STE 201
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City | ARLINGTON
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State | VA
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Zip | 22204-3117
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Country | US
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Telephone | 703-662-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 17975 SWANS CREEK LN
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City | DUMFRIES
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State | VA
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Zip | 22026-4528
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Country | US
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Telephone | 571-232-8100
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0104557477
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License Number State | VA
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