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General NPI Number Information
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NPI Number | 1497135826
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Entity Type | Organization
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Legal Business Name | DR. BRANDON R. LEMUEL DC,PC
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 07/08/2015
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Provider Practice Location Address
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Address Line | 301 MAPLE AVE WEST SUITE 515
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City | VIENNA
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State | VA
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Zip | 22180
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Country | US
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Telephone | 703-319-1212
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Fax | 703-319-1215
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Provider Business Mailing Address
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Address Line | 301 MAPLE AVE WEST SUITE 515
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City | VIENNA
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State | VA
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Zip | 22180
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Country | US
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Telephone | 703-319-1212
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Fax | 703-319-1215
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRANDON LEMUEL
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Credential | D.C.
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Telephone | 703-319-1212
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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 | 0104556459
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License Number State | VA
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