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General NPI Number Information
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NPI Number | 1790081271
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Entity Type | Organization
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Legal Business Name | GET BACK TO HEALTH CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 2917 W HIGHWAY 50
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City | EMPORIA
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State | KS
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Zip | 66801-5140
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Country | US
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Telephone | 620-343-9900
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Fax | 620-343-9904
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Provider Business Mailing Address
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Address Line | 2917 W HIGHWAY 50
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City | EMPORIA
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State | KS
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Zip | 66801-5140
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Country | US
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Telephone | 620-343-9900
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Fax | 620-343-9904
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Authorized Official
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Title or Position | OWNER
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Name | LANE D SMITH
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Credential | D.C.
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Telephone | 620-343-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-02764
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1102202
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 1400129
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0105155
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License Number State | KS
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