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General NPI Number Information
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NPI Number | 1356141972
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Entity Type | Organization
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Legal Business Name | BTKP LLC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 545 W CENTER ST
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-2215
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Country | US
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Telephone | 385-258-4036
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Fax |
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Provider Business Mailing Address
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Address Line | 545 W CENTER ST
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-2215
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Country | US
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Telephone | 385-258-4036
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KALEB VALDEZ
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Credential | DC
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Telephone | 385-258-4036
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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 |
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License Number State |
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