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General NPI Number Information
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NPI Number | 1942401310
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Entity Type | Individual
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Provider Name | ROBERT WOODROW WAINER D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3924 WILSON BLVD.
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City | ARLINGTON
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State | VA
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Zip | 22203
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Country | US
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Telephone | 703-528-2726
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Fax | 703-841-9196
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Provider Business Mailing Address
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Address Line | 13308 IVAKOTA FARM RD
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City | CLIFTON
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State | VA
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Zip | 20124-1542
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Country | US
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Telephone | 703-322-8344
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Fax | 703-841-9196
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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 | 0104555592
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License Number State | VA
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