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General NPI Number Information
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NPI Number | 1043613201
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Entity Type | Organization
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Legal Business Name | BANNING FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 132 1/2 N MAIN ST
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City | LINDSBORG
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State | KS
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Zip | 67456-2227
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Country | US
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Telephone | 785-212-6152
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Fax |
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Provider Business Mailing Address
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Address Line | 132 1/2 N MAIN ST
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City | LINDSBORG
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State | KS
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Zip | 67456-2227
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. KENDALL BANNING
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Credential | D.C.
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Telephone | 785-212-6152
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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 | 0105653
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License Number State | KS
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