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General NPI Number Information
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NPI Number | 1164695128
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Entity Type | Organization
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Legal Business Name | LIFE'S ENDEAVOUR
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 2494 WEST SHARRON DRIVE
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City | TAYLORSVILLE
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State | UT
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Zip | 84118
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Country | US
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Telephone | 801-631-6556
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Fax |
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Provider Business Mailing Address
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Address Line | 2494 WEST SHARRON DRIVE
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City | TAYLORSVILLE
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State | UT
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Zip | 84118
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REV. DR.
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Name | DR. WIL BARTON
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Credential | D.C.
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Telephone | 801-631-6556
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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 | 162487-1202
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License Number State | UT
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