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General NPI Number Information
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NPI Number | 1114347218
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Entity Type | Organization
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Legal Business Name | TRUE VITALITY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 8560 N GREEN HILLS RD SUITE 118
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City | KANSAS CITY
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State | MO
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Zip | 64154-1403
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Country | US
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Telephone | 816-584-0520
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Fax | 816-584-0495
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Provider Business Mailing Address
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Address Line | 8560 N GREEN HILLS RD SUITE 118
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City | KANSAS CITY
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State | MO
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Zip | 64154-1403
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Country | US
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Telephone | 816-584-0520
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Fax | 816-584-0495
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIAN R GILES
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Credential | D.C.
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Telephone | 816-499-0037
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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 | 2014001130
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License Number State | MO
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