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NPI Code Detail

MEDICARE: ANTHONY LIPERUOTE DC

MEDICARE:   ANTHONY  LIPERUOTE  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor0104595KS

General Provider Information

NPI Number : 1588726707
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY LIPERUOTE DC
Provider Business Mailing Address
First Line : 17411 W 163RD ST
Second Line :
City : OLATHE
State : KS
Zip : 66062
Country : US
Telephone Number : 816-935-1046
Fax Number :
Provider Business Practice Location Address
First Line : 2110 E SANTA FE ST
Second Line : FULK CHIROPRACTIC, PA
City : OLATHE
State : KS
Zip : 66062-1607
Country : US
Telephone Number : 913-764-6237
Fax Number : 913-397-8230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 07/08/2007

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Directions to “ ANTHONY LIPERUOTE DC” Practice Location

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