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General NPI Number Information
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NPI Number | 1932451705
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Entity Type | Organization
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Legal Business Name | WELL ADJUSTED HEALTHCARE INC.
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Dates
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Enumeration Date | 10/03/2012
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | 10685 SPOTSYLVANIA AVE
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-2637
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Country | US
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Telephone | 540-300-1880
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Fax |
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Provider Business Mailing Address
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Address Line | 10685 SPOTSYLVANIA AVE
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-2637
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Country | US
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Telephone | 540-300-1880
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALBERT JUSTIN BRYANT
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Credential | D.C.
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Telephone | 937-546-7958
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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 | 0104556983
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License Number State | VA
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