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General NPI Number Information
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NPI Number | 1568797546
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Entity Type | Individual
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Provider Name | JAMES M O'DWYER D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 244 W MILL ST STE 105
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City | LIBERTY
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State | MO
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Zip | 64068-2398
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Country | US
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Telephone | 816-368-1318
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Fax | 816-368-2023
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Provider Business Mailing Address
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Address Line | 11705 E 76TH TER
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City | RAYTOWN
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State | MO
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Zip | 64138-2520
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Country | US
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Telephone | 913-424-7866
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2009035715
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License Number State | MO
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