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NPI 1801084355

NPI 1801084355 : JOSHUA LEVI GILL D.C. : HUTCHINSON, KS

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General NPI Number Information
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    NPI Number           |    1801084355
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA LEVI GILL D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/10/2007
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    Last Update Date     |    10/10/2007
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Provider Practice Location Address
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    Address Line         |    1722 N PLUM ST 
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    City                 |    HUTCHINSON
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    State                |    KS
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    Zip                  |    67502-5501
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    Country              |    US
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    Telephone            |    620-669-8000
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    Fax                  |    620-669-8030
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2469 
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    City                 |    HUTCHINSON
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    State                |    KS
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    Zip                  |    67504-2469
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    Country              |    US
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    Telephone            |    620-669-8000
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    Fax                  |    620-669-8030
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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       |    T-01617
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    License Number State |    KS
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