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General NPI Number Information
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NPI Number | 1144366550
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Entity Type | Organization
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Legal Business Name | INTEGRITY CHIROPRACTIC TR
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 714 SE 3RD ST
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City | LEES SUMMIT
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State | MO
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Zip | 64063-2815
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Country | US
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Telephone | 816-524-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 714 SE THIRD STREET
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City | LEE'S SUMMIT
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State | MO
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Zip | 64063
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Country | US
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Telephone | 916-524-1212
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Fax |
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Authorized Official
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Title or Position | TRUSTEE
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Name | DR. DONALD D PATTISON
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Credential | DC
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Telephone | 816-524-1212
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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 | 2011015868
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License Number State | MO
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