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General NPI Number Information
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NPI Number | 1033153234
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Entity Type | Individual
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Provider Name | JAYME L. GAWITH D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9390 E. CENRAL AVE. STE 103
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City | WICHITA
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State | KS
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Zip | 67206
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Country | US
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Telephone | 316-636-9393
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Fax | 316-636-9398
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Provider Business Mailing Address
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Address Line | 641 N WOODSTONE DR
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City | ANDOVER
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State | KS
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Zip | 67002-9318
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Country | US
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Telephone | 316-733-7140
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 01-4820
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License Number State | KS
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