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General NPI Number Information
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NPI Number | 1245375690
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Entity Type | Organization
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Legal Business Name | WEBB CHIROPRACTIC, P. C.
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 101 S. WASHINGTON ST.
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City | DIAMOND
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State | MO
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Zip | 64840-0025
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Country | US
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Telephone | 417-325-6334
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Fax | 417-325-5334
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Provider Business Mailing Address
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Address Line | PO BOX 25
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City | DIAMOND
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State | MO
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Zip | 64840-0025
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Country | US
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Telephone | 417-325-6334
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Fax | 417-325-5334
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WAYNE S WEBB
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Credential | D.C.
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Telephone | 417-325-6334
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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 | CE005497
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License Number State | MO
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