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General NPI Number Information
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NPI Number | 1639838741
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Entity Type | Organization
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Legal Business Name | DKB CHIROPRACTIC LLC
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Dates
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Enumeration Date | 12/16/2021
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 3930 WALNUT ST STE 220
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City | FAIRFAX
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State | VA
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Zip | 22030-4738
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Country | US
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Telephone | 757-384-5757
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Fax | 757-551-3827
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Provider Business Mailing Address
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Address Line | 3930 WALNUT ST STE 220
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City | FAIRFAX
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State | VA
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Zip | 22030-4738
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Country | US
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Telephone | 757-384-5757
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Fax | 757-551-3827
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. KIHUN CHO
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Credential | DC
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Telephone | 757-384-5757
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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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