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General NPI Number Information
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NPI Number | 1518238112
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Entity Type | Organization
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Legal Business Name | LEWIS CHIROPRACTIC CENTER PC
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 1563 NE RICE RD
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City | LEES SUMMIT
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State | MO
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Zip | 64086-5849
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Country | US
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Telephone | 816-525-5250
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Fax | 816-525-5440
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Provider Business Mailing Address
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Address Line | 1563 NE RICE RD
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City | LEES SUMMIT
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State | MO
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Zip | 64086-5849
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Country | US
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Telephone | 816-525-5250
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Fax | 816-525-5440
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. DANIEL J LEWIS
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Credential | D.C.
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Telephone | 816-525-5250
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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 | 2000164082
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License Number State | MO
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