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General NPI Number Information
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NPI Number | 1710031083
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Entity Type | Organization
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Legal Business Name | ADVANCED ALEXANDRIA CHIROPRACTIC OFFICE, LTD.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2817 DUKE ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4512
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Country | US
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Telephone | 703-823-2201
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Fax | 703-823-2203
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Provider Business Mailing Address
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Address Line | 2817 DUKE ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4512
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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 | OWNER
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Name | DR. ROBERT MILES KNAPP
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Credential | B.S., D.C., C.C.S.T.
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Telephone | 703-823-2201
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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 | 18863-01
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License Number State | VA
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