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General NPI Number Information
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NPI Number | 1093010373
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Entity Type | Organization
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Legal Business Name | KM CHIROPRACTIC & PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 5525 CANOGA AVE #317
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-6643
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Country | US
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Telephone | 818-914-4952
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Fax |
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Provider Business Mailing Address
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Address Line | 5525 CANOGA AVE #317
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-6643
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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 | OWNER
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Name | DR. KARA MCCARTNEY
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Credential | DC
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Telephone | 818-914-4952
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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 | 2010042978
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License Number State | MO
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