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General NPI Number Information
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NPI Number | 1902172638
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Entity Type | Organization
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Legal Business Name | MINT CHIROPRACTIC INC
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 8639 MAYLAND DR STE 105
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City | RICHMOND
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State | VA
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Zip | 23294-4752
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Country | US
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Telephone | 804-909-2883
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Fax | 804-754-0309
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Provider Business Mailing Address
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Address Line | 8639 MAYLAND DR STE 105
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City | RICHMOND
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State | VA
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Zip | 23294-4752
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Country | US
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Telephone | 804-909-2883
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Fax | 804-754-0309
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRYANT D. SNYDER
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Credential | D.C.
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Telephone | 804-740-7105
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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 | 0104556041
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License Number State | VA
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