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General NPI Number Information
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NPI Number | 1649343047
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Entity Type | Organization
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Legal Business Name | SHAWNEE CHIROPRACTIC CLINIC, P.A.
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 21640 MIDLAND DR
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City | SHAWNEE
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State | KS
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Zip | 66218-9064
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Country | US
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Telephone | 913-422-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 21640 MIDLAND DR
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City | SHAWNEE
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State | KS
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Zip | 66218-9064
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Country | US
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Telephone | 913-422-1900
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Fax | 913-745-8017
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KIMBERLY J FLAMING
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Credential | D.C.
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Telephone | 913-422-1900
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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 |
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License Number State |
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