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General NPI Number Information
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NPI Number | 1811709603
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Entity Type | Individual
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Provider Name | VICTORIA ANGELISE MORALES DC
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Gender | Female
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 1309 PANORAMA DR STE 107
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City | CHATTANOOGA
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State | TN
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Zip | 37421-4771
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Country | US
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Telephone | 423-541-3771
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Fax |
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Provider Business Mailing Address
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Address Line | 5133 CITY STATION DR APT 308
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City | OOLTEWAH
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State | TN
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Zip | 37363-7245
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Country | US
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Telephone | 407-640-3763
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number | 3921
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3921
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License Number State | TN
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