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General NPI Number Information
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NPI Number | 1891060349
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Entity Type | Organization
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Legal Business Name | PAIN MANAGEMENT SOLUTIONS OF FRONT ROYAL, PLLC
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Dates
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Enumeration Date | 03/16/2012
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Last Update Date | 03/16/2012
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Provider Practice Location Address
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Address Line | 307 SOUTH ST
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City | FRONT ROYAL
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State | VA
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Zip | 22630-2113
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Country | US
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Telephone | 540-622-6104
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Fax |
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Provider Business Mailing Address
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Address Line | 307 SOUTH ST
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City | FRONT ROYAL
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State | VA
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Zip | 22630-2113
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Country | US
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Telephone | 540-622-6104
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DANIEL CARRIER
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Credential | DC
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Telephone | 540-622-6104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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