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General NPI Number Information
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NPI Number | 1376326009
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Entity Type | Organization
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Legal Business Name | JEWELL ORTHODONTICS, LLC
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 2070 NW LOWENSTEIN DR
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City | LEES SUMMIT
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State | MO
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Zip | 64081-1903
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Country | US
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Telephone | 816-560-8351
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Fax |
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Provider Business Mailing Address
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Address Line | 2350 SW RIVER TRAIL RD
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City | LEES SUMMIT
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State | MO
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Zip | 64082-7804
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Country | US
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Telephone | 816-560-8351
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST/ OWNER
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Name | DR. ABBY JEWELL
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Credential |
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Telephone | 816-560-8351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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