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General NPI Number Information
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NPI Number | 1700061967
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Entity Type | Individual
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Provider Name | KODY R JOHNSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 2011 CHAPEL PLAZA CT SUITE 111
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City | COLUMBIA
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State | MO
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Zip | 65203-6398
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Country | US
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Telephone | 660-651-4335
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 ASHLAND RD APT. F
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City | COLUMBIA
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State | MO
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Zip | 65201-5387
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Country | US
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Telephone | 660-651-4335
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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 | 2007034175
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License Number State | MO
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