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General NPI Number Information
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NPI Number | 1326259086
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Entity Type | Organization
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Legal Business Name | RESCO CHIROPRACTIC, PA
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 12/05/2018
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Provider Practice Location Address
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Address Line | 1910 M ST
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City | BELLEVILLE
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State | KS
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Zip | 66935-2207
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Country | US
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Telephone | 785-527-7000
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Fax | 785-527-7001
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Provider Business Mailing Address
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Address Line | 1910 M ST
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City | BELLEVILLE
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State | KS
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Zip | 66935-2207
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Country | US
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Telephone | 785-527-7000
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Fax | 785-527-7001
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROYCE R RESCO
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Credential | D.C.
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Telephone | 785-527-7000
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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 | 01-04605
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License Number State | KS
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