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General NPI Number Information
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NPI Number | 1669246807
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Entity Type | Organization
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Legal Business Name | CHIRO PARK PC
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 2300 N PERSHING DR STE 307
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City | ARLINGTON
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State | VA
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Zip | 22201-1428
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Country | US
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Telephone | 703-525-5800
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Fax | 703-525-5802
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Provider Business Mailing Address
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Address Line | 2300 N PERSHING DR STE 307
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City | ARLINGTON
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State | VA
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Zip | 22201-1428
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANGWOO DANNY PARK
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Credential |
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Telephone | 704-989-4688
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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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