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General NPI Number Information
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NPI Number | 1003778705
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Entity Type | Organization
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Legal Business Name | TRUE LIFE CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1445 W COLLEGE ST
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City | MARSHALL
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State | MO
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Zip | 65340-2943
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Country | US
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Telephone | 660-886-5850
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Fax | 660-886-7333
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Provider Business Mailing Address
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Address Line | 1445 W COLLEGE ST
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City | MARSHALL
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State | MO
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Zip | 65340-2943
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Country | US
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Telephone | 660-886-5850
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Fax | 660-886-7333
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | GERALD D ROBERTSON
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Credential | DC
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Telephone | 660-886-5850
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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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