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General NPI Number Information
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NPI Number | 1700026473
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Entity Type | Organization
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Legal Business Name | MULLER CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 02/20/2009
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Provider Practice Location Address
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Address Line | 101 ESSEX RD
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2442
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Country | US
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Telephone | 804-520-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 14107 BEACHMERE DR
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City | CHESTER
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State | VA
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Zip | 23831-6570
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Country | US
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Telephone | 804-748-9068
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Fax |
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Authorized Official
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Title or Position | PRES.
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Name | DR. GLENN S. MULLER
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Credential | D.C.
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Telephone | 804-520-7246
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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 | 0104000474
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License Number State | VA
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