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General NPI Number Information
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NPI Number | 1962170142
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Entity Type | Organization
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Legal Business Name | THE VOLT CHIROPRACTIC
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 1008 RANCH ROAD 620 S STE 100
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City | LAKEWAY
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State | TX
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Zip | 78734-5632
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Country | US
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Telephone | 737-279-8600
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Fax | 737-279-8601
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Provider Business Mailing Address
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Address Line | 1008 RANCH ROAD 620 S STE 100
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City | LAKEWAY
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State | TX
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Zip | 78734-5632
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Country | US
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Telephone | 737-279-8600
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Fax | 737-279-8601
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICARDO FLORES
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Credential | DC
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Telephone | 325-201-5934
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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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