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General NPI Number Information
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NPI Number | 1447415005
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Entity Type | Organization
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Legal Business Name | ABLE BODY CHIROPRACTIC, PC
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 2001 S SERGEANT AVE
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City | JOPLIN
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State | MO
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Zip | 64804-1865
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Country | US
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Telephone | 417-206-2253
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 S SERGEANT AVE
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City | JOPLIN
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State | MO
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Zip | 64804-1865
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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 | CEO
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Name | HERB WARING
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Credential | DC
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Telephone | 417-206-2253
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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 | 2007027104
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License Number State | MO
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