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General NPI Number Information
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NPI Number | 1598083339
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Entity Type | Individual
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Provider Name | ADAM D WEILERT D.C
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Gender | Male
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 06/26/2017
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Provider Practice Location Address
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Address Line | 720 S SANTA FE AVE
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City | CHANUTE
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State | KS
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Zip | 66720-3043
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Country | US
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Telephone | 620-431-2225
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Fax | 620-431-2225
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Provider Business Mailing Address
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Address Line | 520 S EVERGREEN AVE
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City | CHANUTE
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State | KS
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Zip | 66720-2357
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Country | US
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Telephone | 620-433-7023
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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 | 01-05325
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License Number State | KS
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