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General NPI Number Information
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NPI Number | 1275684995
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Entity Type | Organization
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Legal Business Name | CAMERON CHIROPRACTIC, L.L.C.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 1809 N WALNUT ST
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City | CAMERON
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State | MO
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Zip | 64429-8615
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Country | US
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Telephone | 816-632-6201
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 N WALNUT ST
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City | CAMERON
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State | MO
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Zip | 64429-8615
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Country | US
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Telephone | 816-632-6201
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BETH WEST
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Credential | D.C.
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Telephone | 816-632-6201
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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 | 2002028184
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License Number State | MO
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