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General NPI Number Information
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NPI Number | 1952318198
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Entity Type | Individual
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Provider Name | JASON MICHAEL ABBOTT D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2021A CUNNINGHAM DR SUITE 3
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City | HAMPTON
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State | VA
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Zip | 23666-3320
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Country | US
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Telephone | 757-838-8820
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Fax | 757-838-8823
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Provider Business Mailing Address
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Address Line | 210 MARSH LANDING DR APT. 301
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City | CARROLLTON
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State | VA
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Zip | 23314-4163
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Country | US
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Telephone | 757-814-3580
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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 | 0104556480
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License Number State | VA
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