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General NPI Number Information
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NPI Number | 1689035461
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Entity Type | Organization
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Legal Business Name | VB CHIROPRACTIC, PLC.
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Dates
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Enumeration Date | 03/08/2016
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 2125 MCCOMAS WAY SUITE 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-3986
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Country | US
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Telephone | 757-427-7690
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Fax | 757-427-7692
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Provider Business Mailing Address
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Address Line | 2125 MCCOMAS WAY SUITE 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-3986
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Country | US
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Telephone | 757-427-7690
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Fax | 757-427-7692
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL ANN VUILLER
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Credential | D.C.
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Telephone | 517-366-8467
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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 | 0104557155
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License Number State | VA
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