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General NPI Number Information
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NPI Number | 1780859140
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Entity Type | Organization
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Legal Business Name | PAUL STANGIL, D.C. INC.
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 285 HYDRAULIC RIDGE RD SUITE 3A
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-8126
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Country | US
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Telephone | 434-978-7878
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Fax |
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Provider Business Mailing Address
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Address Line | 285 HYDRAULIC RIDGE ROAD SUITE 3A
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-8970
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Country | US
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Telephone | 434-978-7878
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | PAUL STANGIL
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Credential | D.C.
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Telephone | 434-978-7878
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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 | 0104000992
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License Number State | VA
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