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General NPI Number Information
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NPI Number | 1417847658
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Entity Type | Organization
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Legal Business Name | VITAL CARE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 339 E CAMP WISDOM RD
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City | DUNCANVILLE
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State | TX
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Zip | 75116-2705
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Country | US
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Telephone | 463-513-2322
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Fax | 469-513-2380
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Provider Business Mailing Address
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Address Line | 339 E CAMP WISDOM RD
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City | DUNCANVILLE
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State | TX
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Zip | 75116-2705
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Country | US
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Telephone | 469-513-2322
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALBERTO BUSTILLOS
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Credential | DC
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Telephone | 214-606-6408
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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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