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General NPI Number Information
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NPI Number | 1962560193
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Entity Type | Organization
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Legal Business Name | BACK TO HEALTH CENTER
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 900 PRINCE ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3009
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Country | US
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Telephone | 703-683-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 900 PRINCE ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHARA H POSNER
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Credential | M.S. D.C.
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Telephone | 703-683-7771
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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 | 010455623
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License Number State | VA
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