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General NPI Number Information
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NPI Number | 1962656934
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Entity Type | Organization
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Legal Business Name | ATLANTIC CHIROPRACTIC AND REHABILITATION PC
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 11/10/2014
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Provider Practice Location Address
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Address Line | 115 KEMPSVILLE RD STE. 1
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3857
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Country | US
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Telephone | 757-547-2045
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Fax | 757-547-2027
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Provider Business Mailing Address
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Address Line | 115 KEMPSVILLE RD SUITE ONE
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3857
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Country | US
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Telephone | 757-547-2045
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Fax | 757-547-2027
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. ERIC CARL SANTJER
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Credential | D.C.
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Telephone | 757-547-2045
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 885
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License Number State | VA
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