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General NPI Number Information
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NPI Number | 1043676638
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Entity Type | Organization
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Legal Business Name | LIVING STONE CHIROPRACTIC & ACUPUNCTURE LLC
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 2730 N AMIDON AVE STE A
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City | WICHITA
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State | KS
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Zip | 67204-4953
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Country | US
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Telephone | 316-613-3311
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Fax | 316-613-3311
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Provider Business Mailing Address
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Address Line | 2730 N AMIDON AVE STE A
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City | WICHITA
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State | KS
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Zip | 67204-4953
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Country | US
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Telephone | 316-613-3311
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Fax | 316-613-3311
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSHUA MAY
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Credential | D.C.
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Telephone | 316-613-3311
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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 | 01-05765
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License Number State | KS
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