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General NPI Number Information
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NPI Number | 1437397957
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Entity Type | Organization
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Legal Business Name | WELL ADJUSTED CHIROPRACTIC AND ACUPUNCTURE PC
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Dates
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Enumeration Date | 01/22/2009
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Last Update Date | 12/27/2010
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Provider Practice Location Address
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Address Line | 409 E 3RD ST
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City | CAMERON
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State | MO
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Zip | 64429-1839
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Country | US
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Telephone | 816-632-4405
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Fax | 816-632-4406
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Provider Business Mailing Address
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Address Line | 409 E 3RD ST
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City | CAMERON
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State | MO
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Zip | 64429-1839
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Country | US
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Telephone | 816-632-4405
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Fax | 816-632-4406
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARJORIE MARIE RHOADS
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Credential | D.C. RN
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Telephone | 816-632-4405
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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 | 2007001305
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License Number State | MO
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