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General NPI Number Information
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NPI Number | 1033136122
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Entity Type | Individual
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Provider Name | JON MICHAEL VEZENDY DC
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Gender | Male
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 20723 TORRENCE CHAPEL RD STE 201
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City | CORNELIUS
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State | NC
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Zip | 28031-6399
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Country | US
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Telephone | 704-895-2240
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Fax | 704-765-4077
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Provider Business Mailing Address
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Address Line | 20723 TORRENCE CHAPEL RD STE 201
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City | CORNELIUS
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State | NC
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Zip | 28031-6399
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Country | US
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Telephone | 704-895-2240
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Fax | 704-765-4077
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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 | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | NC3013
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License Number State | NC
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