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General NPI Number Information
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NPI Number | 1740751437
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Entity Type | Organization
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Legal Business Name | DESERVE VICTORY LLC
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Dates
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Enumeration Date | 12/06/2018
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Last Update Date | 12/06/2018
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Provider Practice Location Address
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Address Line | 6118 LINCOLNSHIRE CT
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City | ROCKWALL
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State | TX
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Zip | 75087-4508
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Country | US
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Telephone | 301-254-5571
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Fax | 972-692-0426
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Provider Business Mailing Address
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Address Line | 6118 LINCOLNSHIRE CT
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City | ROCKWALL
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State | TX
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Zip | 75087-4508
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Country | US
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Telephone | 301-254-5571
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Fax | 972-692-0426
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN HORWITZ
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Credential | DC
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Telephone | 214-531-7939
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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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