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General NPI Number Information
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NPI Number | 1740223643
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Entity Type | Individual
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Provider Name | DANIEL AARON YATES DC
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 319 SE MAIN ST
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City | LEES SUMMIT
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State | MO
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Zip | 64063-2333
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Country | US
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Telephone | 816-524-7000
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Fax | 816-524-6993
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Provider Business Mailing Address
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Address Line | 3916 S MAYBROOK AVE
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City | INDEPENDENCE
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State | MO
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Zip | 64055-3929
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Country | US
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Telephone | 816-350-8081
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Fax | 816-524-6993
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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 | 2004027985
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License Number State | MO
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