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General NPI Number Information
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NPI Number | 1962949016
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Entity Type | Organization
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Legal Business Name | MILLER CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 01/27/2017
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Last Update Date | 01/27/2017
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Provider Practice Location Address
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Address Line | 5800 MAPLEDALE PLZ
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City | WOODBRIDGE
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State | VA
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Zip | 22193-4535
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Country | US
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Telephone | 703-680-3332
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Fax | 703-680-1365
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Provider Business Mailing Address
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Address Line | 5800 MAPLEDALE PLZ
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City | WOODBRIDGE
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State | VA
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Zip | 22193-4535
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Country | US
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Telephone | 703-680-3332
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Fax | 703-680-1365
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DIANE ELIZABETH MILLER ALEXANDER
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Credential | DC
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Telephone | 703-680-3332
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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 | VA
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