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General NPI Number Information
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NPI Number | 1043397367
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Entity Type | Individual
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Provider Name | KRIS A TRUITT D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 1200 W HENDERSON ST STE H
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City | CLEBURNE
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State | TX
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Zip | 76033-8700
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Country | US
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Telephone | 817-641-3431
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Fax | 817-641-3432
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Provider Business Mailing Address
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Address Line | 1200 W HENDERSON ST STE H
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City | CLEBURNE
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State | TX
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Zip | 76033-8725
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Country | US
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Telephone | 817-641-3431
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Fax | 817-641-3432
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 4118
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License Number State | TX
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