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General NPI Number Information
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NPI Number | 1619709904
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Entity Type | Organization
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Legal Business Name | VELAZQUEZ CHIROPRACTIC LLC
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Dates
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Enumeration Date | 08/15/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 2000 S EASTERN AVE STE D
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City | LAS VEGAS
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State | NV
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Zip | 89104-4100
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Country | US
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Telephone | 725-206-5562
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Fax | 725-206-5392
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Provider Business Mailing Address
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Address Line | 2000 S EASTERN AVE STE D
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City | LAS VEGAS
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State | NV
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Zip | 89104-4100
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Country | US
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Telephone | 725-206-5562
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Fax | 725-206-5392
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. MARIA C VELAZQUEZ
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Credential | DC
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Telephone | 725-253-5203
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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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