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General NPI Number Information
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NPI Number | 1740490242
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Entity Type | Organization
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Legal Business Name | SPIROS T THEODORE DC PC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 12105 DARNESTOWN RD SUITE L-8
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City | GAITHERSBURG
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State | MD
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Zip | 20854
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Country | US
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Telephone | 301-869-0006
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Fax | 301-869-0201
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Provider Business Mailing Address
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Address Line | 12105 DARNESTOWN ROAD SUITE L-8
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City | GAITHERSBURG
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State | MD
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Zip | 20878
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Country | US
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Telephone | 301-869-0006
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Fax | 301-869-0201
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Authorized Official
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Title or Position | PRESIDENT
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Name | SPIRO T THEODORE
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Credential | DC
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Telephone | 301-869-0006
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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 | 02045
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | S02045
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License Number State | MD
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