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General NPI Number Information
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NPI Number | 1427851203
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Entity Type | Organization
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Legal Business Name | WHOLESOME CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 3929 E OVERLAND RD
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City | MERIDIAN
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State | ID
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Zip | 83642-6710
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Country | US
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Telephone | 208-572-7255
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Fax |
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Provider Business Mailing Address
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Address Line | 9016 W STATE ST APT 102
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City | BOISE
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State | ID
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Zip | 83714-2581
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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. KAYLA BORGAN
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Credential | DC
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Telephone | 847-302-2977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number |
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License Number State |
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