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NPI 1669078226

NPI 1669078226 : SLONE HOLDINGS, LLC : RICHMOND, VA

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General NPI Number Information
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    NPI Number           |    1669078226
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    Entity Type          |    Organization 
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    Legal Business Name  |    SLONE HOLDINGS, LLC 
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Dates
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    Enumeration Date     |    12/09/2020
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    Last Update Date     |    10/04/2021
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Provider Practice Location Address
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    Address Line         |    909 HIOAKS RD STE A 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23225-4038
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    Country              |    US
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    Telephone            |    804-565-9551
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    Fax                  |    804-565-9552
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Provider Business Mailing Address
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    Address Line         |    PO BOX 745854 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30374-5854
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    Country              |    US
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    Telephone            |    410-970-8190
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    Fax                  |    410-313-8024
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Authorized Official
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    Title or Position    |    INTERIM, CCO
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    Name                 |     TODD  SIGMON 
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    Credential           |    
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    Telephone            |    410-970-8190
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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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