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General NPI Number Information
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NPI Number | 1063117448
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Entity Type | Organization
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Legal Business Name | VALLEY NATURAL HEALTH LLC
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Dates
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Enumeration Date | 04/04/2023
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 6220 GEORGETOWN BLVD STE E
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City | ELDERSBURG
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State | MD
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Zip | 21784-6417
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Country | US
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Telephone | 410-795-7766
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Fax | 410-795-7000
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Provider Business Mailing Address
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Address Line | 6220 GEORGETOWN BLVD STE E
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City | ELDERSBURG
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State | MD
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Zip | 21784-6417
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Country | US
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Telephone | 410-795-7766
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Fax | 410-795-7000
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Authorized Official
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Title or Position | OWNER
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Name | TROY COONRAD
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Credential | DC
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Telephone | 201-669-1008
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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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