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General NPI Number Information
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NPI Number | 1548273469
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Entity Type | Organization
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Legal Business Name | CAROLE N. YARED D.C. PLLC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 6222 OLD FRANCONIA RD STE A
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City | ALEXANDRIA
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State | VA
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Zip | 22310-3403
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Country | US
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Telephone | 703-822-8005
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Fax | 703-822-8007
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Provider Business Mailing Address
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Address Line | 6222 OLD FRANCONIA RD STE A
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City | ALEXANDRIA
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State | VA
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Zip | 22310-3403
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Country | US
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Telephone | 703-822-8005
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Fax | 703-822-8007
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. CAROLE NADIM YARED
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Credential | D.C.
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Telephone | 703-822-8005
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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 | 0104555878
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License Number State | VA
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