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General NPI Number Information
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NPI Number | 1710138722
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Entity Type | Individual
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Provider Name | HENRY ARTHUR MCCLEARY D.C., C.S.C.S.
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Gender | Male
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 09/07/2012
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Provider Practice Location Address
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Address Line | 2121 EISENHOWER AVE., # 200
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City | ALEXANDRIA
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State | VA
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Zip | 22314
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Country | US
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Telephone | 855-862-3935
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Fax | 703-444-4384
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Provider Business Mailing Address
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Address Line | 16 CARROLLTON RD
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City | STERLING
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State | VA
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Zip | 20165-5627
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Country | US
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Telephone | 703-463-4644
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Fax | 703-444-4384
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 0877
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License Number State | VA
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