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General NPI Number Information
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NPI Number | 1174038715
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Entity Type | Organization
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Legal Business Name | VALPARAISO CHIROPRACTIC & WELLNESS INC
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Dates
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Enumeration Date | 12/05/2017
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Last Update Date | 02/27/2018
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Provider Practice Location Address
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Address Line | 505 SILHAVY RD STE 400
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City | VALPARAISO
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State | IN
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Zip | 46383-4446
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Country | US
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Telephone | 219-771-8156
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Fax |
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Provider Business Mailing Address
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Address Line | 505 SILHAVY RD STE 400
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City | VALPARAISO
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State | IN
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Zip | 46383-4446
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Country | US
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Telephone | 219-464-3038
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Fax | 219-465-7513
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Authorized Official
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Title or Position | OWNER/PRESIDENT/CHIROPRACTOR
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Name | LINDSEY DOPPLER
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Credential | DC
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Telephone | 219-771-8156
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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 | 08002781A
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License Number State | IN
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