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General NPI Number Information
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NPI Number | 1427363662
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Entity Type | Organization
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Legal Business Name | V CHIROPRACTIC AND REHABILITATION LLC
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 1500 5TH ST SUITE 12
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City | SANTA FE
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State | NM
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Zip | 87505-3480
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Country | US
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Telephone | 505-795-3337
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Fax |
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Provider Business Mailing Address
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Address Line | 541 GARCIA ST
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City | SANTA FE
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State | NM
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Zip | 87505-2855
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Country | US
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Telephone | 505-795-3337
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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. MICHAEL S VARNAY
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Credential | DC
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Telephone | 303-728-4855
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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 | 6328
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License Number State | CO
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