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General NPI Number Information
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NPI Number | 1649130436
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Entity Type | Organization
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Legal Business Name | SRILEKHA SPECIALIZED HEALTH CLINICS INC
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 9675 LIBERIA AVE STE 103
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City | MANASSAS
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State | VA
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Zip | 20110-1742
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Country | US
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Telephone | 703-260-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 4010 SHERFORD DR
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City | FAIRFAX
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State | VA
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Zip | 22033-5600
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Country | US
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Telephone | 703-839-3976
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTER
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Name | DR. SAMANTHA RYDER
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Credential | DC
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Telephone | 703-853-0209
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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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