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General NPI Number Information
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NPI Number | 1073216222
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Entity Type | Organization
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Legal Business Name | GREAT PLAINS CHIROPRACTIC AND WELLNESS L.L.C.
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 105 SW 12TH ST
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City | OAK GROVE
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State | MO
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Zip | 64075-9220
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Country | US
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Telephone | 816-525-7200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 46
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City | OAK GROVE
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State | MO
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Zip | 64075-0046
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Country | US
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Telephone | 816-263-5475
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Fax |
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Authorized Official
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Title or Position | OWNER/ CHIROPRACTOR
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Name | DR. WILLIAM PATRICK MONROE
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Credential | DC
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Telephone | 816-674-1256
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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 |
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