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General NPI Number Information
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NPI Number | 1578769345
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Entity Type | Organization
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Legal Business Name | ADVANCED CHIROPRACTIC HEALTH
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1402 NW VIVION RD
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City | KANSAS CITY
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State | MO
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Zip | 64118-4555
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Country | US
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Telephone | 816-746-9045
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Fax | 816-746-9032
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Provider Business Mailing Address
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Address Line | 1402 NW VIVION RD
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City | KANSAS CITY
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State | MO
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Zip | 64118-4555
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Country | US
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Telephone | 816-746-9045
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Fax | 816-746-9032
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS PATRICK MCNERNEY
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Credential | DC
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Telephone | 816-746-9045
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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 | 2000167943
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License Number State | MO
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