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General NPI Number Information
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NPI Number | 1497910269
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Entity Type | Organization
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Legal Business Name | PRECISION SPINAL CARE, INC.
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 1305 EXECUTIVE BLVD SUITE 170
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3676
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Country | US
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Telephone | 757-382-5555
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Fax | 757-382-5556
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Provider Business Mailing Address
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Address Line | 1305 EXECUTIVE BLVD SUITE 170
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3676
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Country | US
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Telephone | 757-382-5555
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Fax | 757-382-5556
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Authorized Official
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Title or Position | ASSOCIATE DOCTOR OF CHIROPRACTIC
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Name | DR. ALLEN DAYTON HARRISON
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Credential | D.C.
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Telephone | 757-382-5555
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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 | 0104556052
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104556541
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License Number State | VA
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