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General NPI Number Information
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NPI Number | 1740808054
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Entity Type | Organization
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Legal Business Name | JORDAN'S CHIROPRACTIC & WELLNESS, LLC
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 3552 SW MARKET ST
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City | LEES SUMMIT
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State | MO
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Zip | 64082-2327
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Country | US
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Telephone | 816-988-0058
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Fax | 816-988-3031
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Provider Business Mailing Address
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Address Line | 3552 SW MARKET ST
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City | LEES SUMMIT
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State | MO
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Zip | 64082-2327
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Country | US
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Telephone | 816-988-0058
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Fax | 816-988-3031
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. CHRISTOPHER ROBERT JORDAN
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Credential | DC
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Telephone | 816-808-6873
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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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