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General NPI Number Information
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NPI Number | 1700055548
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC PAIN RELIEF CENTERS, P.C
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 212 VANCE ROAD
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City | LEBANON
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State | MO
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Zip | 65536-3664
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Country | US
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Telephone | 417-532-6251
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Fax | 417-532-6221
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Provider Business Mailing Address
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Address Line | 212 VANCE ROAD
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City | LEBANON
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State | MO
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Zip | 65536-3664
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Country | US
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Telephone | 417-532-6251
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Fax | 417-532-6221
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Authorized Official
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Title or Position | DOCTOR
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Name | KEVIN LEE BAYS
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Credential |
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Telephone | 417-532-6251
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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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