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General NPI Number Information
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NPI Number | 1235649930
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Entity Type | Organization
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Legal Business Name | ADJUSTED FOR LIFE FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 10/07/2017
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Last Update Date | 10/07/2017
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Provider Practice Location Address
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Address Line | 105 S JEFFERSON ST STE B3
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City | KEARNEY
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State | MO
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Zip | 64060-8833
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Country | US
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Telephone | 816-281-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 408 VALLEY ST
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City | LATHROP
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State | MO
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Zip | 64465-9203
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Country | US
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Telephone | 620-290-0349
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR OF CHIROPRACTIC
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Name | DR. ZOE SHELDEN
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Credential | D.C.
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Telephone | 620-290-0349
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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 | 2017031033
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License Number State | MO
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