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General NPI Number Information
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NPI Number | 1417396359
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Entity Type | Organization
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Legal Business Name | OZ CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 1529 E 30TH AVE
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City | HUTCHINSON
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State | KS
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Zip | 67502-1225
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Country | US
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Telephone | 620-665-5100
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Fax | 620-665-5104
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Provider Business Mailing Address
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Address Line | 1529 E 30TH AVE
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City | HUTCHINSON
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State | KS
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Zip | 67502-1225
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Country | US
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Telephone | 620-665-5100
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Fax | 620-665-5104
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. LESLIE KAY OSBORN
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Credential | D.C.
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Telephone | 620-665-5100
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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 | 0105349
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License Number State |
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