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General NPI Number Information
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NPI Number | 1588430946
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Entity Type | Organization
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Legal Business Name | MIN CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 5105A BACKLICK RD
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City | ANNANDALE
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State | VA
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Zip | 22003-6005
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Country | US
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Telephone | 703-680-3332
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Fax |
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Provider Business Mailing Address
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Address Line | 9346 TARTAN VIEW DR
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City | FAIRFAX
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State | VA
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Zip | 22032-1206
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Country | US
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Telephone | 571-425-5523
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIN H YUN
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Credential | D.C.
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Telephone | 571-425-5523
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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