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General NPI Number Information
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NPI Number | 1578263091
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Entity Type | Individual
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Provider Name | ANDREW MISENER DC
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Gender | Male
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 3536 GROVE AVE
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City | RICHMOND
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State | VA
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Zip | 23221-2200
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Country | US
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Telephone | 804-673-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 3018 LEDGEWOOD DR
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City | APEX
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State | NC
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Zip | 27539-3012
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Country | US
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Telephone | 386-289-8737
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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 | 0104557895
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License Number State | VA
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