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General NPI Number Information
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NPI Number | 1093991556
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Entity Type | Organization
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Legal Business Name | VENDSEL CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 1857 N KOLB RD
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City | TUCSON
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State | AZ
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Zip | 85715-4900
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Country | US
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Telephone | 520-290-2229
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Fax | 520-290-2236
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Provider Business Mailing Address
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Address Line | 1857 N KOLB RD
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City | TUCSON
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State | AZ
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Zip | 85715-4900
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Country | US
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Telephone | 520-290-2229
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Fax | 520-290-2236
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. JEFFRY TODD VENDSEL
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Credential | D.C.
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Telephone | 520-290-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 5654
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License Number State | AZ
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