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General NPI Number Information
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NPI Number | 1487183463
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Entity Type | Organization
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Legal Business Name | HEARTLAND CHIROPRACTIC & WELLNESS, LLC
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 1719 MAIN ST
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City | UNIONVILLE
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State | MO
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Zip | 63565-1661
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Country | US
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Telephone | 660-947-7325
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Fax | 660-947-7326
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Provider Business Mailing Address
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Address Line | PO BOX 214
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City | UNIONVILLE
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State | MO
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Zip | 63565-0214
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Country | US
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Telephone | 660-947-7325
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Fax | 660-947-7326
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC/OWNER
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Name | MRS. SARAH CHRISTINE TRIPLETT
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Credential | DC
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Telephone | 660-947-7325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 2017001178
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License Number State | MO
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