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General NPI Number Information
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NPI Number | 1366525149
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Entity Type | Organization
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Legal Business Name | VARDY CHIROPRACTIC AND WELLNESS CLINICS
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 2555 WENDELL BLVD
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City | WENDELL
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State | NC
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Zip | 27591-6902
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Country | US
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Telephone | 919-366-3111
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Fax | 919-366-3366
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Provider Business Mailing Address
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Address Line | PO BOX 92
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City | WENDELL
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State | NC
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Zip | 27591-0092
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Country | US
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Telephone | 919-366-3111
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Fax | 919-366-3366
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK THOMAS VARDY
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Credential | D.C.
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Telephone | 919-366-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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