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General NPI Number Information
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NPI Number | 1659447522
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Entity Type | Organization
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Legal Business Name | BUKUTS CHIROPRACTIC HEALTH AND WELLNESS CENTER LTD
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 3821 WALES AVE NW
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City | MASSILLON
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State | OH
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Zip | 44646
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Country | US
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Telephone | 330-834-2537
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Fax | 330-834-9477
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Provider Business Mailing Address
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Address Line | 3821 WALES AVE NW
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City | MASSILLON
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State | OH
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Zip | 44646
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Country | US
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Telephone | 330-834-2537
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Fax | 330-834-9477
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Authorized Official
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Title or Position | OWNER/DC
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Name | KATHRYN SUZANNE TROMPOWER
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Credential | DC
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Telephone | 330-834-2537
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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 | 3739
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License Number State | OH
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