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General NPI Number Information
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NPI Number | 1932016482
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Entity Type | Individual
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Provider Name | GAVIN FARRELL DC
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Gender | Male
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 4725 VIRGINIA BEACH BLVD STE 150
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-7784
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Country | US
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Telephone | 757-760-3196
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Fax |
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Provider Business Mailing Address
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Address Line | 9620 6TH BAY ST
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City | NORFOLK
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State | VA
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Zip | 23518-1108
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Country | US
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Telephone | 716-345-3070
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 16107
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104558164
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License Number State | VA
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