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General NPI Number Information
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NPI Number | 1659734994
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Entity Type | Organization
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Legal Business Name | VB CREATIONS, LLC
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 05/27/2016
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Provider Practice Location Address
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Address Line | 2225 W. SOUTHLAKE BLVD SUITE#441
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City | SOUTHLAKE
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State | TX
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Zip | 76092
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Country | US
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Telephone | 214-206-1447
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Fax | 469-808-0695
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Provider Business Mailing Address
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Address Line | 18101 PRESTON RD SUITE#201
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City | DALLAS
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State | TX
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Zip | 75252-6602
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Country | US
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Telephone | 214-206-1447
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Fax | 469-808-0695
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MAISHA BROWN-MOORE
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Credential |
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Telephone | 214-206-1447
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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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