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General NPI Number Information
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NPI Number | 1275855660
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Entity Type | Organization
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Legal Business Name | DR GERALD YURTH CHIROPRACTOR LLC
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 1512 S 27TH ST
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City | SAINT JOSEPH
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State | MO
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Zip | 64507-1847
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Country | US
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Telephone | 816-232-9437
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Fax | 816-232-7434
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Provider Business Mailing Address
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Address Line | 1512 S 27TH ST
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City | SAINT JOSEPH
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State | MO
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Zip | 64507-1847
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Country | US
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Telephone | 816-232-9437
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Fax | 816-232-7434
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Authorized Official
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Title or Position | SINGLE MEMBER
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Name | DR. GERALD OLIVER YURTH
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Credential | D.C.
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Telephone | 816-232-9437
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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 | 2895
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License Number State | MO
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