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General NPI Number Information
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NPI Number | 1255647533
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Entity Type | Organization
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Legal Business Name | BACK TO HEALTH WELLNESS CENTER INC
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 202 STATE ST SUITE B
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City | FORT SCOTT
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State | KS
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Zip | 66701-2031
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Country | US
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Telephone | 620-223-0570
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Fax | 620-223-4003
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Provider Business Mailing Address
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Address Line | 202 STATE ST SUITE B
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City | FORT SCOTT
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State | KS
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Zip | 66701-2031
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Country | US
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Telephone | 620-223-0570
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Fax | 620-223-4003
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. FRANK DAVID MILLER
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Credential | D.C.
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Telephone | 620-223-0570
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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 |
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License Number State |
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