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General NPI Number Information
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NPI Number | 1538209317
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Entity Type | Organization
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Legal Business Name | MCPHERSON CHIROPRACTIC CLINIC PA
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 WEST FIRST STREET
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City | MCPHERSON
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State | KS
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Zip | 67460
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Country | US
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Telephone | 620-241-5272
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Fax | 620-241-4562
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Provider Business Mailing Address
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Address Line | 400 WEST FIRST STREET
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City | MCPHERSON
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State | KS
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Zip | 67460
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Country | US
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Telephone | 620-241-5272
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Fax | 620-241-4562
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | LAWRENCE EUGENE THOMPSON
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Credential | DC
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Telephone | 620-241-5272
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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 | 0103105
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License Number State | KS
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