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General NPI Number Information
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NPI Number | 1568955524
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Entity Type | Organization
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Legal Business Name | DR. WILLIAM VY CHIROPRACTIC, INC
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 06/18/2022
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Provider Practice Location Address
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Address Line | 17900 BROOKHURST ST STE B
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5141
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Country | US
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Telephone | 657-400-5248
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Fax | 714-839-8145
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Provider Business Mailing Address
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Address Line | 17900 BROOKHURST ST STE B
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5141
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Country | US
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Telephone | 657-400-5248
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Fax | 714-839-8145
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM VY
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Credential | DC
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Telephone | 714-495-1100
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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 | 34225
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License Number State | CA
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