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General NPI Number Information
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NPI Number | 1275675647
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Entity Type | Individual
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Provider Name | RICARDO LERMA JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 6600 E 87TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64138-2733
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Country | US
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Telephone | 816-353-7577
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Fax | 816-353-7578
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Provider Business Mailing Address
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Address Line | 2066 SW RACHEL LN
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City | LEES SUMMIT
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State | MO
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Zip | 64082-4065
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Country | US
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Telephone | 816-525-0941
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Fax | 816-353-7578
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2003004143
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License Number State | MO
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