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General NPI Number Information
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NPI Number | 1467674069
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Entity Type | Organization
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Legal Business Name | SPINAL CARE GROUP
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5433 TURNER DR
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City | KANSAS CITY
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State | KS
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Zip | 66106-1116
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Country | US
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Telephone | 913-287-8685
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Fax |
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Provider Business Mailing Address
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Address Line | 5433 TURNER RD
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City | KANSAS CITY
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State | KS
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Zip | 66106
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Country | US
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Telephone | 913-287-8685
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | EMBER RILEY
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Credential |
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Telephone | 913-287-8685
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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 |
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License Number State |
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