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General NPI Number Information
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NPI Number | 1356492391
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Entity Type | Organization
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Legal Business Name | PICK CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2300 N 14TH AVE SUITE 200
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City | DODGE CITY
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State | KS
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Zip | 67801-2368
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Country | US
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Telephone | 620-225-3411
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 N 14TH AVE SUITE 200
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City | DODGE CITY
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State | KS
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Zip | 67801-2368
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Country | US
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Telephone | 620-225-3411
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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. MARK D. PICK
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Credential | D.C.
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Telephone | 620-225-3411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 006116
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 01-03788
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License Number State | KS
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