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General NPI Number Information
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NPI Number | 1437972957
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Entity Type | Organization
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Legal Business Name | VAN CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 1012 N DAVIS DR # 1012
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City | ARLINGTON
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State | TX
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Zip | 76012-3240
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Country | US
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Telephone | 817-576-6765
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 N DAVIS DR # 1012
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City | ARLINGTON
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State | TX
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Zip | 76012-3240
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Country | US
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Telephone | 817-576-6765
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Fax |
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Authorized Official
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Title or Position | OWNER/ CHIROPRACTOR
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Name | VU-VICTOR VAN
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Credential | DC
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Telephone | 870-612-0026
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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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