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NPI 1619426095

NPI 1619426095 : ACCORDO CHIROPRACTIC LTD : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1619426095
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACCORDO CHIROPRACTIC LTD 
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Dates
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    Enumeration Date     |    09/27/2016
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    Last Update Date     |    09/27/2016
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Provider Practice Location Address
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    Address Line         |    733 VOLVO PKWY SUITE 150
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-1609
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    Country              |    US
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    Telephone            |    757-436-1800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    733 VOLVO PKWY SUITE 150
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-1609
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    Country              |    US
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    Telephone            |    757-436-1800
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER / DO
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    Name                 |     MARCO  ACCORDO 
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    Credential           |    DO
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    Telephone            |    757-436-1800
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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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