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General NPI Number Information
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NPI Number | 1447275573
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Entity Type | Individual
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Provider Name | RICHARD L DOPPS D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 1001 W 47TH ST S
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City | WICHITA
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State | KS
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Zip | 67217
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Country | US
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Telephone | 316-522-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 301 N 189TH CIR W
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City | GODDARD
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State | KS
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Zip | 67052-9499
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Country | US
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Telephone | 316-794-7790
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 01-04380
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License Number State | KS
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