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General NPI Number Information
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NPI Number | 1487713624
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Entity Type | Organization
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Legal Business Name | DOLMAT CHIROPRACTIC CLINIC, INC.
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 4301 VIRGINIA BEACH BLVD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1250
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Country | US
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Telephone | 757-498-0098
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Fax | 757-498-8053
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Provider Business Mailing Address
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Address Line | 4301 VIRGINIA BEACH BLVD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1250
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Country | US
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Telephone | 757-498-0098
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Fax | 757-498-8053
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Authorized Official
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Title or Position | CHIROPRACTOR / OWNER
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Name | DR. BRIAN JOSEPH DOLMAT
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Credential | DC
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Telephone | 757-498-0098
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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 | 0104000769
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License Number State | VA
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