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General NPI Number Information
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NPI Number | 1609160258
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Entity Type | Organization
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Legal Business Name | DUFFEY CHIROPRACTIC CARE, INC.
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 320 N LAKE AVE
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City | COLBY
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State | KS
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Zip | 67701-2434
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Country | US
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Telephone | 785-460-3224
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Fax | 785-460-3225
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Provider Business Mailing Address
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Address Line | 320 N LAKE AVE
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City | COLBY
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State | KS
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Zip | 67701-2434
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Country | US
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Telephone | 785-460-3224
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Fax | 785-460-3225
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA J DUFFEY
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Credential | D.C.
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Telephone | 785-460-3224
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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 | 01-05402
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License Number State | KS
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