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General NPI Number Information
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NPI Number | 1871851006
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Entity Type | Organization
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Legal Business Name | VV CHIROPRACTIC INC.
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Dates
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Enumeration Date | 04/25/2012
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Last Update Date | 05/01/2012
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Provider Practice Location Address
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Address Line | 2471 SW 82ND AVE APT 210
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City | DAVIE
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State | FL
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Zip | 33324-7722
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Country | US
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Telephone | 561-306-6351
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Fax |
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Provider Business Mailing Address
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Address Line | 3650 SW 10TH ST SUITE 1B
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-5997
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Country | US
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Telephone | 561-306-6351
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. VALERIA VALENZUELA
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Credential | D.C.
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Telephone | 561-306-6351
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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 | CH8441
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License Number State | FL
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