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General NPI Number Information
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NPI Number | 1851448245
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Entity Type | Organization
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Legal Business Name | PLATAS CHIROPRACTIC CENTER, LTD.
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6225 BRANDON AVE SUITE 175
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City | SPRINGFIELD
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State | VA
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Zip | 22150-2526
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Country | US
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Telephone | 703-451-5600
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Fax | 703-451-2957
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Provider Business Mailing Address
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Address Line | 6225 BRANDON AVE SUITE 175
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City | SPRINGFIELD
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State | VA
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Zip | 22150-2526
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Country | US
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Telephone | 703-451-5600
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Fax | 703-451-2957
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY PLATAS
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Credential | D.C.
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Telephone | 703-451-5600
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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 | 0104001038
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License Number State | VA
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