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General NPI Number Information
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NPI Number | 1063205052
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Entity Type | Organization
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Legal Business Name | VICTORY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 120 RIVERWALK DR STE 308
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City | SAN MARCOS
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State | TX
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Zip | 78666-5597
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Country | US
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Telephone | 425-864-3004
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Fax |
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Provider Business Mailing Address
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Address Line | 436 CHASTE TREE DR
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City | SAN MARCOS
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State | TX
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Zip | 78666-4993
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Country | US
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Telephone | 425-864-3004
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDUARDO FRANCISCO DURAN
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Credential | DC
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Telephone | 425-864-3004
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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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