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General NPI Number Information
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NPI Number | 1154873990
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Entity Type | Organization
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Legal Business Name | EVEXIA FAMILY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 03/24/2020
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Provider Practice Location Address
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Address Line | 459 SW WARD RD
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City | LEES SUMMIT
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State | MO
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Zip | 64081-2448
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Country | US
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Telephone | 816-875-4399
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Fax | 816-895-6850
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Provider Business Mailing Address
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Address Line | 102 NE GREEN ST
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City | LEES SUMMIT
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State | MO
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Zip | 64063-2017
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Country | US
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Telephone | 816-456-4615
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBORAH D PERKINS
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Credential | D.C.
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Telephone | 816-456-4615
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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 | 2016035543
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License Number State | MO
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