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NPI Code Detail

MEDICARE: DR. NATHAN QUI-NGAN LE D.C

MEDICARE: DR. NATHAN QUI-NGAN LE D.C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor0104556081VA

General Provider Information

NPI Number : 1598813719
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN QUI-NGAN LE D.C
Provider Business Mailing Address
First Line : 4656 KING ST STE D
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22302-1215
Country : US
Telephone Number : 703-998-0600
Fax Number : 703-998-0333
Provider Business Practice Location Address
First Line : 4656 KING ST STE D
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22302-1215
Country : US
Telephone Number : 703-998-0600
Fax Number : 703-998-0333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 09/11/2008

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