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General NPI Number Information
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NPI Number | 1144980319
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Entity Type | Individual
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Provider Name | JACQUELINE JIMENEZ DC
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Gender | Female
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 8560 N GREEN HILLS RD STE 116
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City | KANSAS CITY
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State | MO
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Zip | 64154-1697
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Country | US
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Telephone | 816-205-8304
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Fax | 816-306-2093
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Provider Business Mailing Address
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Address Line | 8560 N GREEN HILLS RD STE 116
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City | KANSAS CITY
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State | MO
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Zip | 64154-1697
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Country | US
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Telephone | 816-205-8304
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Fax | 816-306-2093
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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 | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 2021037406
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License Number State | MO
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