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General NPI Number Information
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NPI Number | 1912715285
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Entity Type | Organization
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Legal Business Name | AMERICAN CHIROPRACTIC AND WELLNESS LLC
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 5105A BACKLICK RD
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City | ANNANDALE
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State | VA
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Zip | 22003-6005
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Country | US
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Telephone | 703-642-8685
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Fax | 703-642-1507
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Provider Business Mailing Address
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Address Line | 6920B BRADLICK SHOPPING CTR PMB 274
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City | ANNANDALE
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State | VA
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Zip | 22003-7203
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Country | US
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Telephone | 301-744-9024
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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. THOMAS SHELTON
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Credential | DC
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Telephone | 301-744-9024
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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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