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General NPI Number Information
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NPI Number | 1841694213
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Entity Type | Organization
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Legal Business Name | VITALITY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 10/14/2014
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Provider Practice Location Address
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Address Line | 7180 E ORCHARD RD 100
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City | CENTENNIAL
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State | CO
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Zip | 80111-1724
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Country | US
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Telephone | 303-309-0038
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Fax |
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Provider Business Mailing Address
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Address Line | 7180 E ORCHARD RD 100
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City | CENTENNIAL
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State | CO
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Zip | 80111-1724
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Country | US
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Telephone | 303-309-0038
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. KELSEY PIPPITT
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Credential | D.C.
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Telephone | 303-309-0038
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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 | CHR.0007203
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License Number State | CO
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