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General NPI Number Information
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NPI Number | 1508716309
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Entity Type | Individual
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Provider Name | ANA M SHABESTAR
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Gender | Female
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 120 EASTSHORE DR STE 120
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5985
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Country | US
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Telephone | 804-270-6010
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Fax | 804-554-3483
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Provider Business Mailing Address
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Address Line | 6556 HAGUEMAN DR
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City | RICHMOND
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State | VA
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Zip | 23225-2216
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0104558145
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License Number State | VA
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