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NPI 1649976507

NPI 1649976507 : NASH O THOMPSON DC : LEES SUMMIT, MO

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General NPI Number Information
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    NPI Number           |    1649976507
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    Entity Type          |    Individual 
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    Provider Name        |    NASH O THOMPSON DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/02/2023
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    Last Update Date     |    04/30/2025
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Provider Practice Location Address
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    Address Line         |    750 NW MAIN ST 
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    City                 |    LEES SUMMIT
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    State                |    MO
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    Zip                  |    64086-9309
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    Country              |    US
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    Telephone            |    417-353-9539
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    Fax                  |    866-628-1881
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Provider Business Mailing Address
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    Address Line         |    833 NW DONOVAN RD APT 109 
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    City                 |    LEES SUMMIT
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    State                |    MO
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    Zip                  |    64086-4598
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    Country              |    US
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    Telephone            |    417-353-9539
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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       |    4530
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    License Number State |    OK
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    2024002468
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    License Number State |    MO
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