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General NPI Number Information
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NPI Number | 1477986800
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Entity Type | Organization
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Legal Business Name | VALLEY FAMILY WELLNESS AND CHIROPRACTIC
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 1600 N COALTER ST SUITE 303A
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City | STAUNTON
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State | VA
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Zip | 24401-2551
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Country | US
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Telephone | 540-885-1735
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Fax | 540-885-1736
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Provider Business Mailing Address
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Address Line | 1600 N COALTER ST SUITE 303A
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City | STAUNTON
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State | VA
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Zip | 24401-2551
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Country | US
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Telephone | 540-885-1735
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Fax | 540-885-1736
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW D DODGE
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Credential | DC
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Telephone | 540-885-1735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 0104556995
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License Number State | VA
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