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General NPI Number Information
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NPI Number | 1558698100
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Entity Type | Organization
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Legal Business Name | DOWNTTOWN CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 737 S WASHINGTON ST SUITE 4
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City | WICHITA
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State | KS
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Zip | 67211-2411
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Country | US
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Telephone | 316-264-2225
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Fax | 316-262-2976
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Provider Business Mailing Address
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Address Line | 737 S WASHINGTON ST SUITE 4
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City | WICHITA
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State | KS
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Zip | 67211-2411
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Country | US
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Telephone | 316-264-2225
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Fax | 316-262-2976
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGIA JEAN OHLBERG
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Credential | D.C.
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Telephone | 316-264-2225
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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 | 01-04604
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License Number State | KS
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