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General NPI Number Information
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NPI Number | 1871884718
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Entity Type | Organization
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Legal Business Name | CORE HEALTH CHIROPRACTIC
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 44330 PREMIER PLZ #110A
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City | ASHBURN
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State | VA
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Zip | 20147-5070
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Country | US
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Telephone | 703-723-9355
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Fax | 703-723-6647
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Provider Business Mailing Address
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Address Line | 44330 PREMIER PLZ #110A
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City | ASHBURN
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State | VA
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Zip | 20147-5070
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Country | US
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Telephone | 703-723-9355
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Fax | 703-723-6647
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Authorized Official
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Title or Position | CEO
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Name | DR. BINH H NGUYEN
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Credential | DC
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Telephone | 703-598-8875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 0104556154
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License Number State | VA
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