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General NPI Number Information
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NPI Number | 1871991463
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Entity Type | Organization
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Legal Business Name | HARRISONBURG CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 12/12/2014
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Last Update Date | 12/26/2014
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Provider Practice Location Address
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Address Line | 182 NEFF AVE # 7
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City | HARRISONBURG
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State | VA
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Zip | 22801-3488
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Country | US
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Telephone | 540-432-6842
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Fax |
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Provider Business Mailing Address
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Address Line | 182 NEFF AVE # 7
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City | HARRISONBURG
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State | VA
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Zip | 22801-3488
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Country | US
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Telephone | 540-432-6842
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAYMOND CARL WRIGHT
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Credential | D.C.
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Telephone | 540-432-6842
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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 | 0104555746
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License Number State | VA
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