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General NPI Number Information
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NPI Number | 1790862654
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC HEALTHCARE PLUS, PC
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 601 S STATE ROUTE 291 STE B
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City | LIBERTY
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State | MO
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Zip | 64068-1958
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Country | US
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Telephone | 816-429-6598
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Fax | 816-429-8471
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Provider Business Mailing Address
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Address Line | 601 S STATE ROUTE 291 STE B
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City | LIBERTY
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State | MO
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Zip | 64068-1958
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Country | US
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Telephone | 816-429-6598
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Fax | 816-429-8471
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Authorized Official
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Title or Position | OWNER
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Name | DR. DIMITRIOS M THEOHARIDIS
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Credential | D.C.
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Telephone | 816-429-6598
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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 | 006774
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License Number State | MO
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