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General NPI Number Information
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NPI Number | 1174722086
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Entity Type | Organization
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Legal Business Name | ADAM JAMESON DC PC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/22/2019
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Provider Practice Location Address
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Address Line | 1332 NE WINDSOR DR
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City | LEES SUMMIT
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State | MO
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Zip | 64086-8477
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Country | US
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Telephone | 816-525-1311
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Fax | 816-525-8311
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Provider Business Mailing Address
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Address Line | 1332 NE WINDSOR DR
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City | LEES SUMMIT
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State | MO
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Zip | 64086-8477
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Country | US
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Telephone | 816-272-3559
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Fax | 816-272-1594
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | MR. ADAM JAMESON
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Credential | DC
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Telephone | 816-272-3559
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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 | 2005000636
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License Number State | MO
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