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General NPI Number Information
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NPI Number | 1578518460
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE VANDERHURST D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 205 E HIRST RD SUITE 102
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City | PURCELLVILLE
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State | VA
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Zip | 20132-6198
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Country | US
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Telephone | 540-338-3190
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Fax | 540-338-3695
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Provider Business Mailing Address
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Address Line | 205 E HIRST RD SUITE 102
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City | PURCELLVILLE
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State | VA
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Zip | 20132-6198
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Country | US
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Telephone | 540-338-3190
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Fax | 540-338-3695
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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 | 0104001973
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License Number State | VA
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