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General NPI Number Information
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NPI Number | 1497210413
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Entity Type | Organization
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Legal Business Name | INFINITY CHIROPRACTIC OF GLOUCESTER
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 02/04/2019
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Provider Practice Location Address
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Address Line | 2654 GEORGE WASHINGTON MEMORIAL HWY
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City | HAYES
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State | VA
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Zip | 23072-3464
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Country | US
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Telephone | 804-642-6106
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Fax |
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Provider Business Mailing Address
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Address Line | 202 FIELDING LEWIS DR
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City | YORKTOWN
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State | VA
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Zip | 23692-2808
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Country | US
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Telephone | 757-753-4700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOEL CHEEK
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Credential | DC
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Telephone | 757-753-4700
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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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