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General NPI Number Information
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NPI Number | 1588767719
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Entity Type | Organization
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Legal Business Name | WINCHESTER CHIROPRACTIC & WELLNESS PC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 918 S KINGSHIGHWAY
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City | SIKESTON
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State | MO
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Zip | 63801-4416
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Country | US
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Telephone | 573-471-1833
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Fax | 573-472-0443
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Provider Business Mailing Address
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Address Line | 918 S KINGSHIGHWAY
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City | SIKESTON
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State | MO
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Zip | 63801-4416
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Country | US
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Telephone | 573-471-1833
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Fax | 573-472-0443
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LESLIE S WINCHESTER
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Credential | DC
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Telephone | 573-471-1833
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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 | 2002021152
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License Number State | MO
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