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General NPI Number Information
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NPI Number | 1578404166
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Entity Type | Organization
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Legal Business Name | VITAL LIFE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 13708 MADISON AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-4711
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Country | US
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Telephone | 216-536-1725
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Fax |
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Provider Business Mailing Address
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Address Line | 6590 TULIP TRL
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City | INDEPENDENCE
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State | OH
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Zip | 44131-4836
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Country | US
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Telephone | 216-536-1725
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZACH BARTHER
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Credential | DC
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Telephone | 216-536-1725
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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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