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General NPI Number Information
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NPI Number | 1821192451
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Entity Type | Organization
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Legal Business Name | CAPE CHIROPRACTIC INC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 2110 CAROLINA AVE SW
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City | ROANOKE
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State | VA
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Zip | 24014-1738
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Country | US
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Telephone | 540-343-0055
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Fax | 540-343-0056
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Provider Business Mailing Address
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Address Line | 2522 COLONIAL AVE SW
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City | ROANOKE
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State | VA
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Zip | 24015-3121
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Country | US
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Telephone | 540-343-0055
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Fax | 540-627-5055
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER ELIZABETH WALKER
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Credential | DC
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Telephone | 540-343-0055
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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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