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General NPI Number Information
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NPI Number | 1568880938
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Entity Type | Individual
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Provider Name | CHESTEN CANTRELL DC
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Gender | Female
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 505 S MAIN ST
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-1745
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Country | US
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Telephone | 540-243-9137
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Fax |
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Provider Business Mailing Address
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Address Line | 1570 SCUFFLING HILL RD
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-6430
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Country | US
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Telephone | 540-243-9137
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0019018952
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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 | 0104557150
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License Number State | VA
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