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General NPI Number Information
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NPI Number | 1790808905
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Entity Type | Organization
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Legal Business Name | CARTWRIGHT CHIROPRACTIC & ACUPUNCTURE, P.C.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1008 N MAIN ST
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City | INDEPENDENCE
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State | MO
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Zip | 64050-1822
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Country | US
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Telephone | 816-254-6777
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Fax | 816-254-6775
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Provider Business Mailing Address
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Address Line | 1008 N MAIN ST
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City | INDEPENDENCE
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State | MO
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Zip | 64050-1822
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Country | US
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Telephone | 816-254-6777
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Fax | 816-254-6775
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH DAVID CARTWRIGHT
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Credential | D.C.
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Telephone | 816-254-6777
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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 | 003990
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License Number State | MO
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