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General NPI Number Information
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NPI Number | 1770512444
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Entity Type | Organization
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Legal Business Name | WOODBRIDGE CHIROPRACTIC CLINIC, P.C.
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 13199 CENTERPOINTE WAY
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City | WOODBRIDGE
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State | VA
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Zip | 22193-5284
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Country | US
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Telephone | 703-730-0200
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Fax | 703-730-7771
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Provider Business Mailing Address
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Address Line | 13199 CENTERPOINTE WAY
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City | WOODBRIDGE
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State | VA
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Zip | 22193-5284
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Country | US
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Telephone | 703-730-0200
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Fax | 703-730-7771
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Authorized Official
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Title or Position | OWNER
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Name | DR. MITCHELL SCOTT WHITE
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Credential | D.C.
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Telephone | 703-730-7771
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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