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NPI 1194805051

NPI 1194805051 : DR. MILO E. WILCOX, LLC : SALINA, KS

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General NPI Number Information
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    NPI Number           |    1194805051
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. MILO E. WILCOX, LLC 
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Dates
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    Enumeration Date     |    10/16/2006
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    Last Update Date     |    12/12/2007
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Provider Practice Location Address
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    Address Line         |    1003 ALBERT AVE 
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    City                 |    SALINA
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    State                |    KS
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    Zip                  |    67401-6611
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    Country              |    US
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    Telephone            |    785-826-9911
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    Fax                  |    785-826-9922
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Provider Business Mailing Address
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    Address Line         |    1003 ALBERT AVE 
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    City                 |    SALINA
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    State                |    KS
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    Zip                  |    67401-6611
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    Country              |    US
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    Telephone            |    785-826-9911
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    Fax                  |    785-826-9922
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. MILO E WILCOX 
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    Credential           |    D.C.
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    Telephone            |    785-826-9911
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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       |    KS 0104606
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    License Number State |    KS
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