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General NPI Number Information
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NPI Number | 1235200890
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Entity Type | Organization
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Legal Business Name | INTEGRITY CHIROPRACTIC AND WELLNESS, LLC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13200 W 95TH ST
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City | LENEXA
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State | KS
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Zip | 66215-3731
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Country | US
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Telephone | 913-888-2066
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Fax | 913-888-4851
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Provider Business Mailing Address
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Address Line | 13200 W 95TH ST
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City | LENEXA
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State | KS
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Zip | 66215-3731
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Country | US
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Telephone | 913-888-2066
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Fax | 913-888-4851
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. FRANK A JIMENEZ II
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Credential | DC
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Telephone | 913-888-2066
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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 | 01-04988
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License Number State | KS
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