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General NPI Number Information
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NPI Number | 1184689812
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Entity Type | Individual
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Provider Name | TODD RAY LOSH D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 555 N. MCLEAN BLVD SUITE 200
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City | WICHITA
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State | KS
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Zip | 67203-5847
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Country | US
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Telephone | 316-263-5500
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Fax | 316-295-2719
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Provider Business Mailing Address
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Address Line | 555 N. MCLEAN BLVD. SUITE 200
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City | WICHITA
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State | KS
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Zip | 67203-5847
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Country | US
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Telephone | 316-263-5500
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Fax | 316-295-2179
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104131
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License Number State | KS
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