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General NPI Number Information
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NPI Number | 1538042684
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Entity Type | Organization
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Legal Business Name | VON STADE & VERCELLINO CHIROPRACTIC INC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1100 LAUREL ST STE B
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City | SAN CARLOS
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State | CA
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Zip | 94070-5000
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Country | US
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Telephone | 408-981-7303
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Fax |
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Provider Business Mailing Address
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Address Line | 123 CLAREMONT AVE
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City | SANTA CLARA
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State | CA
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Zip | 95051-6641
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Country | US
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Telephone | 408-981-7303
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Fax |
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Authorized Official
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Title or Position | COO
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Name | ANDREW VERCELLINO
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Credential | DC
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Telephone | 408-981-7303
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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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