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General NPI Number Information
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NPI Number | 1750244273
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Entity Type | Organization
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Legal Business Name | 915 CHIRO SPORTS & REHAB - VDS LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 11860 VISTA DEL SOL DR STE 128
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City | EL PASO
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State | TX
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Zip | 79936-6128
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Country | US
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Telephone | 915-339-6677
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Fax | 915-339-6676
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Provider Business Mailing Address
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Address Line | 11860 VISTA DEL SOL DR STE 128
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City | EL PASO
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State | TX
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Zip | 79936-6128
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Country | US
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Telephone | 915-339-6677
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Fax | 915-339-6676
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER ADAM VALTIERRA
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Credential | DC
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Telephone | 915-339-6677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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