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General NPI Number Information
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NPI Number | 1336091255
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Entity Type | Organization
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Legal Business Name | CENTRAL CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 117 N MAIN ST
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City | HOISINGTON
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State | KS
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Zip | 67544-2501
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Country | US
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Telephone | 620-653-2147
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Fax |
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Provider Business Mailing Address
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Address Line | 117 N MAIN ST
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City | HOISINGTON
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State | KS
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Zip | 67544-2501
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Country | US
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Telephone | 620-653-2147
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DERRICK KAISER
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Credential | DC
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Telephone | 620-617-2434
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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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