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General NPI Number Information
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NPI Number | 1497812382
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Entity Type | Individual
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Provider Name | JENNIFER LYNN GILKISON DC
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 672 SE BAYBERRY LN SUITE 105
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City | LEES SUMMIT
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State | MO
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Zip | 64063-4354
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Country | US
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Telephone | 816-554-7246
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Fax | 816-554-1829
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Provider Business Mailing Address
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Address Line | 672 SE BAYBERRY LN SUITE 105
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City | LEES SUMMIT
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State | MO
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Zip | 64063-4354
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Country | US
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Telephone | 816-554-7246
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Fax | 816-554-1829
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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 | 2001030193
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License Number State | MO
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