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General NPI Number Information
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NPI Number | 1235433004
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Entity Type | Organization
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Legal Business Name | CATES CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 01/07/2011
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 4425 W ZOO BLVD STE. 4
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City | WICHITA
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State | KS
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Zip | 67212-1620
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Country | US
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Telephone | 316-945-5998
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Fax | 316-945-7846
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Provider Business Mailing Address
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Address Line | 4425 W ZOO BLVD STE. 4
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City | WICHITA
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State | KS
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Zip | 67212-1620
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Country | US
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Telephone | 316-945-5998
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Fax | 316-945-7846
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. REBEKAH LYNN CATES
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Credential | DC
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Telephone | 316-945-5998
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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 | 01-04564
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License Number State | KS
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