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General NPI Number Information
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NPI Number | 1922302280
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Entity Type | Organization
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Legal Business Name | DESIRING HEALTH LLC
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Dates
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Enumeration Date | 12/30/2010
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 4107 PLANK RD STE A
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-0113
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Country | US
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Telephone | 540-710-5843
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Fax | 540-710-5843
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Provider Business Mailing Address
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Address Line | 4107 PLANK RD STE A
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-0113
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Country | US
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Telephone | 540-710-5843
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Fax | 540-710-5843
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEAN EXUME
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Credential | DC
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Telephone | 540-710-5843
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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 | 0104556809
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License Number State | VA
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