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General NPI Number Information
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NPI Number | 1316274103
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Entity Type | Organization
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Legal Business Name | OVERLAND PARK CHIROPRACTIC, PA
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Dates
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Enumeration Date | 11/16/2009
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Last Update Date | 11/16/2009
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Provider Practice Location Address
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Address Line | 7301 MISSION RD 251
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3006
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Country | US
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Telephone | 913-375-8449
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Fax | 913-755-1656
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Provider Business Mailing Address
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Address Line | 7301 MISSION RD 251
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3006
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Country | US
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Telephone | 913-375-8449
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Fax | 913-755-1656
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Authorized Official
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Title or Position | OWNER
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Name | DR. SETH MICHAEL THOMPSON
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Credential | D.C.
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Telephone | 913-375-8449
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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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