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General NPI Number Information
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NPI Number | 1659478964
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Entity Type | Organization
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Legal Business Name | BELL CREEK CHIROPRACTIC & WELLNESS CENTER, INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 7481 RIGHT FLANK RD 100
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-3838
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Country | US
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Telephone | 804-616-4515
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Fax | 804-616-4516
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Provider Business Mailing Address
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Address Line | 7481 RIGHT FLANK RD 100
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-3838
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Country | US
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Telephone | 804-616-4515
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Fax | 804-616-4516
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Authorized Official
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Title or Position | PRESIDENT/DOCTOR
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Name | DR. DANA C WILLIAMSON
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Credential | BS DC
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Telephone | 804-616-4515
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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 | 0104555922
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License Number State | VA
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