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General NPI Number Information
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NPI Number | 1336691427
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Entity Type | Organization
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Legal Business Name | CORNERSTONE CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 317 S WOOD ST
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City | NEOSHO
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State | MO
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Zip | 64850-1857
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Country | US
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Telephone | 417-451-2222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 842
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City | NEOSHO
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State | MO
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Zip | 64850-0842
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Country | US
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Telephone | 417-355-3624
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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. MICHAEL MILLIGAN
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Credential | D.C.
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Telephone | 417-355-3624
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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 | 006220
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License Number State | MO
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