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General NPI Number Information
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NPI Number | 1417479114
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Entity Type | Organization
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Legal Business Name | STABILITY WISDOM
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 07/13/2017
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Provider Practice Location Address
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Address Line | 935 S 55TH ST
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City | KANSAS CITY
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State | KS
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Zip | 66106-1309
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Country | US
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Telephone | 913-287-5210
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Fax |
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Provider Business Mailing Address
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Address Line | 14634 S ACUFF LN
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City | OLATHE
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State | KS
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Zip | 66062-6565
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Country | US
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Telephone |
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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. BETH D'ANNA
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Credential | CHIROPRACTIC
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Telephone | 630-207-1732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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