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General NPI Number Information
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NPI Number | 1558613877
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Entity Type | Organization
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Legal Business Name | LIFESTYLE CHIROPRACTIC AND WELLNESS LLC
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 11/02/2012
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Provider Practice Location Address
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Address Line | 1735 WALNUT ST
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City | KANSAS CITY
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State | MO
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Zip | 64108-1315
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Country | US
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Telephone | 816-216-8778
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Fax | 816-817-3280
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Provider Business Mailing Address
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Address Line | 1735 WALNUT ST
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City | KANSAS CITY
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State | MO
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Zip | 64108-1315
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Country | US
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Telephone | 816-216-8778
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Fax | 816-817-3280
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. SHELLEY LOWMAN
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Credential | DC
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Telephone | 816-216-8778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 2012012018
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License Number State | MO
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