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General NPI Number Information
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NPI Number | 1386880706
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Entity Type | Organization
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Legal Business Name | PROADJUSTER CHIROPRACTIC OF SOUTHWEST KANSAS, L.L.C.
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 110 W 4TH ST
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City | SCOTT CITY
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State | KS
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Zip | 67871-1276
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Country | US
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Telephone | 620-872-2310
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Fax | 620-872-7038
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Provider Business Mailing Address
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Address Line | 110 W 4TH ST
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City | SCOTT CITY
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State | KS
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Zip | 67871-1276
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Country | US
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Telephone | 620-872-2310
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Fax | 620-872-7038
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES A YAGER
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Credential | D.C.
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Telephone | 620-872-2310
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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 | 3292
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0105187
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3469
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0105109
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License Number State | KS
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