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General NPI Number Information
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NPI Number | 1104257047
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Entity Type | Individual
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Provider Name | KALI EDWARDS D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/03/2013
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 46980 48TH AVE
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City | LAWRENCE
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State | MI
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Zip | 49064
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Country | US
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Telephone | 269-383-4325
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Fax | 844-272-9281
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Provider Business Mailing Address
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Address Line | 1122 S WESTNEDGE AVE
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City | KALAMAZOO
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State | MI
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Zip | 49008-1350
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Country | US
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Telephone | 269-383-4325
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Fax | 844-272-9281
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | L2522797
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License Number State | MI
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