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NPI 1720163702

NPI 1720163702 : ROYCE R. RESCO D.C. : BELLEVILLE, KS

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General NPI Number Information
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    NPI Number           |    1720163702
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    Entity Type          |    Individual 
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    Provider Name        |    ROYCE R. RESCO D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/26/2006
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    Last Update Date     |    12/05/2018
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Provider Practice Location Address
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    Address Line         |    1910 M ST 
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    City                 |    BELLEVILLE
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    State                |    KS
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    Zip                  |    66935-2207
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    Country              |    US
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    Telephone            |    785-527-7000
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    Fax                  |    785-527-7001
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Provider Business Mailing Address
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    Address Line         |    1910 M ST 
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    City                 |    BELLEVILLE
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    State                |    KS
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    Zip                  |    66935-2207
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    Country              |    US
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    Telephone            |    785-527-7000
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    Fax                  |    785-527-7001
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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       |    01-04605
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    License Number State |    KS
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