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General NPI Number Information
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NPI Number | 1124467758
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Entity Type | Individual
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Provider Name | TRISTIN E METTE D.C.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 1100 SE CENTURY DR D
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City | LEES SUMMIT
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State | MO
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Zip | 64081-3284
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Country | US
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Telephone | 605-214-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 3505 NW NAUTICAL CT L
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City | BLUE SPRINGS
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State | MO
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Zip | 64015-7029
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Country | US
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Telephone | 605-214-4327
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Fax |
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 2013013303
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License Number State | MO
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