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General NPI Number Information
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NPI Number | 1033412713
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Entity Type | Organization
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Legal Business Name | PAHMEYER CHIROPRACTIC
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Dates
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Enumeration Date | 12/17/2010
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Last Update Date | 12/17/2010
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Provider Practice Location Address
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Address Line | 204 N 169 HWY
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City | TRIMBLE
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State | MO
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Zip | 64492-8101
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Country | US
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Telephone | 816-370-2227
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Fax | 816-370-2229
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Provider Business Mailing Address
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Address Line | 204 N 169 HWY
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City | TRIMBLE
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State | MO
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Zip | 64492-8101
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Country | US
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Telephone | 816-370-2227
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Fax | 816-370-2229
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHLEEN DENISE PAHMEYER
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Credential | D.C.
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Telephone | 816-370-2227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2010013901
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License Number State | MO
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