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General NPI Number Information
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NPI Number | 1881347300
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Entity Type | Organization
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Legal Business Name | VITAL STEPS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 691 LANCASTER BYP E
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City | LANCASTER
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State | SC
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Zip | 29720-4727
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Country | US
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Telephone | 803-416-2990
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Fax | 803-590-6555
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Provider Business Mailing Address
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Address Line | 961 N MAIN ST PMB 212
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City | LANCASTER
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State | SC
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Zip | 29720-2188
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Country | US
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Telephone | 803-416-2990
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | DR. MATTHEW PAPPICCO
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Credential | DC
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Telephone | 803-416-2990
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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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