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General NPI Number Information
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NPI Number | 1013037597
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Entity Type | Organization
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Legal Business Name | BATEMAN GATROST CHIRO PC
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 19501 E US HIGHWAY 40 SUITE B
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City | INDEPENDENCE
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State | MO
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Zip | 64055-5463
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Country | US
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Telephone | 816-795-5000
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Fax | 816-795-5001
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Provider Business Mailing Address
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Address Line | 19501 E US HIGHWAY 40 SUITE B
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City | INDEPENDENCE
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State | MO
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Zip | 64055-5463
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Country | US
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Telephone | 816-795-5000
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Fax | 816-795-5001
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Authorized Official
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Title or Position | PRESIDENT CHIROPRACTIC PHYSICIAN
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Name | MR. LEONARD WAYNE BATEMAN
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Credential | D.C.
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Telephone | 816-795-5000
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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 | MO
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