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General NPI Number Information
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NPI Number | 1891274411
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Entity Type | Organization
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Legal Business Name | TOTAL PERFORMANCE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 8245 BOONE BLVD STE 110
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City | VIENNA
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State | VA
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Zip | 22182-3813
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Country | US
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Telephone | 703-356-8721
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Fax | 703-356-8722
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Provider Business Mailing Address
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Address Line | 8245 BOONE BLVD STE 110
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City | VIENNA
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State | VA
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Zip | 22182-3813
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Country | US
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Telephone | 703-356-8721
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Fax | 703-356-8722
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. MARIA KATHRYN SCHAFER
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Credential | DC
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Telephone | 703-309-1231
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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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