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General NPI Number Information
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NPI Number | 1659653640
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Entity Type | Individual
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Provider Name | EMILY LONG DC
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Gender | Female
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Dates
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Enumeration Date | 09/15/2011
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 350 SW GREENWICH DR
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City | LEES SUMMIT
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State | MO
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Zip | 64082-4408
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Country | US
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Telephone | 816-537-5995
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Fax | 866-591-2698
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Provider Business Mailing Address
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Address Line | 350 SW GREENWICH DR
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City | LEES SUMMIT
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State | MO
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Zip | 64082-4408
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Country | US
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Telephone | 816-537-5995
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Fax | 866-591-2698
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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 | 2001005309
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License Number State | MO
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