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General NPI Number Information
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NPI Number | 1659597060
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Entity Type | Organization
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Legal Business Name | SHENANDOAH CHIROPRACTIC PC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2040 DEYERLE AVENUE SUITE 103
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City | HARRISONBURG
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State | VA
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Zip | 22801
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Country | US
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Telephone | 540-442-8555
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Fax | 540-442-9555
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Provider Business Mailing Address
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Address Line | 2040 DEYERLE AVENUE SUITE 103
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City | HARRISONBURG
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State | VA
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Zip | 22801
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Country | US
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Telephone | 540-442-8555
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Fax | 540-442-9555
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK DENNIS KEEFE
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Credential | D.C.
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Telephone | 540-442-8555
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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 | 0104556330
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License Number State | VA
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