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General NPI Number Information
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NPI Number | 1467338541
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Entity Type | Individual
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Provider Name | CARA WILFONG DC
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 21 CONLEY RD STE L2
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City | COLUMBIA
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State | MO
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Zip | 65201-6484
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Country | US
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Telephone | 573-304-5996
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Fax |
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Provider Business Mailing Address
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Address Line | 3635 BRIARMONT AVE APT 311
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City | COLUMBIA
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State | MO
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Zip | 65201-3684
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Country | US
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Telephone | 573-489-3940
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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 | 2024049470
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License Number State | MO
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