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General NPI Number Information
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NPI Number | 1801344304
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Entity Type | Organization
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Legal Business Name | VALLEY CHIROPRACTIC AND SPORTS MEDICINE LLC
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 244 FARMS VILLAGE RD UNIT L
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City | WEST SIMSBURY
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State | CT
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Zip | 06092-2407
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Country | US
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Telephone | 860-413-2727
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Fax | 860-413-2730
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Provider Business Mailing Address
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Address Line | 244 FARMS VILLAGE RD UNIT L PO BOX 485
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City | WEST SIMSBURY
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State | CT
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Zip | 06092-0485
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Country | US
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Telephone | 860-413-2727
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Fax | 860-413-2730
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN/OWNER
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Name | DR. BRETT INLOW
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Credential | DC
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Telephone | 860-413-2727
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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 | 002040
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License Number State | CT
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