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General NPI Number Information
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NPI Number | 1154292795
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Entity Type | Organization
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Legal Business Name | LIVING GARDEN CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1503 S US HIGHWAY 169 STE C
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City | SMITHVILLE
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State | MO
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Zip | 64089-8350
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Country | US
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Telephone | 785-979-6252
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Fax |
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Provider Business Mailing Address
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Address Line | 631 S 18TH ST
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City | LEAVENWORTH
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State | KS
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Zip | 66048-2225
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Country | US
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Telephone | 785-979-6252
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CHIROPRACTOR
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Name | DR. SUE ANN REAGAN
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Credential | DC
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Telephone | 785-979-6252
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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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