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NPI 1538304654

NPI 1538304654 : BRANDI WHITAKER, D.C., LLC : NORTH KANSAS CITY, MO

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General NPI Number Information
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    NPI Number           |    1538304654
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRANDI WHITAKER, D.C., LLC 
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Dates
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    Enumeration Date     |    12/03/2008
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    2627 BURLINGTON ST 
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    City                 |    NORTH KANSAS CITY
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    State                |    MO
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    Zip                  |    64116-3012
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    Country              |    US
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    Telephone            |    816-268-1000
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    Fax                  |    816-268-1001
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Provider Business Mailing Address
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    Address Line         |    2627 BURLINGTON ST 
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    City                 |    NORTH KANSAS CITY
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    State                |    MO
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    Zip                  |    64116-3012
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    Country              |    US
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    Telephone            |    816-268-1000
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    Fax                  |    816-268-1001
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Authorized Official
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    Title or Position    |    CHIROPRACTOR/OWNER
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    Name                 |    DR. BRANDI J. WHITAKER 
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    Credential           |    D.C.
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    Telephone            |    816-268-1000
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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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