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General NPI Number Information
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NPI Number | 1861536609
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Entity Type | Organization
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Legal Business Name | FLINT HILLS CHIROPRACTIC CLINIC PA
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 1409 STANTON
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City | EMPORIA
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State | KS
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Zip | 66801
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Country | US
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Telephone | 620-342-8700
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Fax | 620-342-8595
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Provider Business Mailing Address
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Address Line | 1409 STANTON
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City | EMPORIA
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State | KS
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Zip | 66801
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Country | US
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Telephone | 620-342-8700
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Fax | 620-342-8595
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Authorized Official
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Title or Position | OWNER SEC TRES
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Name | TAMARA DENISE THOMPSON
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Credential | DC
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Telephone | 620-342-8700
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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 | 0104599
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License Number State | KS
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