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General NPI Number Information
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NPI Number | 1629585070
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Entity Type | Organization
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Legal Business Name | CHIROPRAXIS LLC
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 8218 WISCONSIN AVE STE 209
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City | BETHESDA
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State | MD
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Zip | 20814-3107
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Country | US
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Telephone | 240-812-1865
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Fax | 240-240-8463
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Provider Business Mailing Address
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Address Line | 9300 CORPORATE BLVD #1443
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City | ROCKVILLE
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State | MD
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Zip | 20850-3798
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | DR. PATRICK HARVEY
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Credential | DC
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Telephone | 240-812-1865
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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 | 03951
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License Number State | MD
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