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General NPI Number Information
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NPI Number | 1801989751
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Entity Type | Organization
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Legal Business Name | RICHARD D PENNINGTON PA
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 204 W WALNUT ST
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City | SALINA
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State | KS
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Zip | 67401-2816
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Country | US
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Telephone | 785-827-8727
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Fax |
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Provider Business Mailing Address
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Address Line | 204 W WALNUT ST
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City | SALINA
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State | KS
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Zip | 67401-2816
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Country | US
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Telephone | 785-827-8727
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Fax |
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Authorized Official
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Title or Position | D.C.
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Name | BRETT A PENNINGTON
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Credential | D.C.
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Telephone | 785-827-8727
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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 | 01-04111
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License Number State | KS
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