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General NPI Number Information
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NPI Number | 1154724581
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Entity Type | Organization
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Legal Business Name | AGGSON SULLIVAN PARTNERSHIP
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 127 E 6TH ST
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City | CONCORDIA
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State | KS
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Zip | 66901-2932
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Country | US
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Telephone | 785-243-1454
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Fax | 785-243-1232
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Provider Business Mailing Address
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Address Line | 127 E 6TH ST
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City | CONCORDIA
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State | KS
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Zip | 66901-2932
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Country | US
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Telephone | 785-243-1454
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Fax | 785-243-1232
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JORDAN SCOTT AGGSON
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Credential | D.C.
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Telephone | 785-243-7641
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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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