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General NPI Number Information
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NPI Number | 1093408445
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Entity Type | Organization
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Legal Business Name | MOVE WELL CHIROPRACTIC
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Dates
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Enumeration Date | 05/31/2023
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 2761 E TRINITY MILLS RD STE 100
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City | CARROLLTON
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State | TX
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Zip | 75006-3507
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Country | US
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Telephone | 956-624-2774
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Fax |
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Provider Business Mailing Address
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Address Line | 1911 KNIGHTSBRIDGE RD APT 6103
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-1507
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Country | US
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Telephone | 956-624-2774
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. VALENTIN IGNACIO MORENO JR.
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Credential | DC
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Telephone | 956-624-2774
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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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