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General NPI Number Information
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NPI Number | 1619854262
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Entity Type | Individual
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Provider Name | JABARI WEBSTER
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Gender | Male
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 10721 MAIN ST STE 107
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City | FAIRFAX
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State | VA
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Zip | 22030-6902
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Country | US
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Telephone | 254-251-9508
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Fax |
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Provider Business Mailing Address
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Address Line | 14335 SUMMER TREE RD APT G
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City | CENTREVILLE
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State | VA
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Zip | 20121-4052
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Country | US
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Telephone | 254-251-9508
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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 | 0104558103
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License Number State | VA
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