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General NPI Number Information
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NPI Number | 1679082382
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Entity Type | Organization
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Legal Business Name | ELLIOTT CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 09/26/2017
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 112 S KANSAS AVE STE 309
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City | NORTON
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State | KS
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Zip | 67654-2147
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Country | US
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Telephone | 785-874-5472
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Fax |
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Provider Business Mailing Address
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Address Line | 112 S KANSAS AVE STE 309
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City | NORTON
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State | KS
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Zip | 67654-2147
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Country | US
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Telephone | 785-874-5472
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ABBEY LAURA ELLIOTT
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Credential | DC
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Telephone | 785-874-5472
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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 | 01-05853
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License Number State | KS
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