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NPI 1568326627

NPI 1568326627 : BEECH SPINE AND WELLNESS LLC : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1568326627
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEECH SPINE AND WELLNESS LLC 
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Dates
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    Enumeration Date     |    12/12/2025
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    3300 N ROCK RD STE A-2 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67226-1375
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    Country              |    US
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    Telephone            |    316-685-9641
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    Fax                  |    316-315-0267
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Provider Business Mailing Address
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    Address Line         |    3300 N ROCK RD STE A-2 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67226-1375
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    Country              |    US
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    Telephone            |    316-685-9641
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    Fax                  |    316-315-0267
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHRISTOPHER  BEECH 
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    Credential           |    DC
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    Telephone            |    316-685-9641
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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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