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General NPI Number Information
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NPI Number | 1225067382
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Entity Type | Organization
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Legal Business Name | MICHAEL A SPIESS DC INC
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 15203 W 87TH STREET PKWY
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City | LENEXA
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State | KS
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Zip | 66219-1409
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Country | US
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Telephone | 913-648-7246
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Fax | 913-599-1548
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Provider Business Mailing Address
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Address Line | 15203 W 87TH STREET PKWY
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City | LENEXA
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State | KS
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Zip | 66219-1409
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Country | US
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Telephone | 913-648-7246
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Fax | 913-599-1548
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. MICHAEL ANTHONY SPIESS
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Credential | D.C.
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Telephone | 913-648-7246
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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 | 01-04909
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License Number State | KS
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