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General NPI Number Information
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NPI Number | 1740463504
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Entity Type | Organization
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Legal Business Name | PREFERRED CARE CHIROPRACTIC, P.A., INC.
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 12/14/2007
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Provider Practice Location Address
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Address Line | 12715 WARWICK BLVD SUITE I
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-1800
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Country | US
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Telephone | 757-890-2030
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Fax | 757-265-1282
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Provider Business Mailing Address
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Address Line | 12715 WARWICK BLVD SUITE I
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-1800
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Country | US
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Telephone | 757-890-2030
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Fax | 757-265-1282
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STUART IRWIN FREEDMAN
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Credential | D.C.
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Telephone | 757-890-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0104001912
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License Number State | VA
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