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General NPI Number Information
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NPI Number | 1447361191
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Entity Type | Organization
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Legal Business Name | VANDER YACHT CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1333 W CRAWFORD ST
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City | SALINA
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State | KS
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Zip | 67401-4573
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Country | US
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Telephone | 785-823-1060
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Fax | 785-823-0100
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Provider Business Mailing Address
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Address Line | 1333 W CRAWFORD ST
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City | SALINA
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State | KS
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Zip | 67401-4573
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Country | US
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Telephone | 785-823-1060
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Fax | 785-823-0100
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES MICHAEL VANDER YACHT
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Credential | D.C.,
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Telephone | 785-823-1060
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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 | 0103827
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License Number State | KS
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