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General NPI Number Information
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NPI Number | 1841598190
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Entity Type | Organization
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Legal Business Name | LAKEWOOD HEALING HANDS
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 905 NE WOODS CHAPEL RD
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City | LEES SUMMIT
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State | MO
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Zip | 64064-1989
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Country | US
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Telephone | 816-524-7100
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Fax | 816-838-0113
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Provider Business Mailing Address
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Address Line | 905 NE WOODS CHAPEL RD
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City | LEES SUMMIT
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State | MO
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Zip | 64064-1989
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Country | US
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Telephone | 816-524-7100
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Fax | 816-838-0113
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | STEVE MILLER
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Credential | DC
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Telephone | 816-524-7100
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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 | 2010018252
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License Number State | MO
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