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General NPI Number Information
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NPI Number | 1922374131
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Entity Type | Organization
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Legal Business Name | ORCHARD SQUARE CHIROPRACTIC INC
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 1528 VOLVO PKWY STE C
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City | CHESAPEAKE
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State | VA
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Zip | 23320-1514
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Country | US
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Telephone | 757-547-1110
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Fax | 757-547-7740
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Provider Business Mailing Address
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Address Line | 1528 VOLVO PKWY STE C
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City | CHESAPEAKE
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State | VA
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Zip | 23320-1514
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Country | US
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Telephone | 757-547-1110
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Fax | 757-547-7740
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. NICK SCHAPOWAL
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Credential | D.C.
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Telephone | 757-547-1110
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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 | 0104001133
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License Number State | VA
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