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General NPI Number Information
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NPI Number | 1881782340
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Entity Type | Organization
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Legal Business Name | JONES CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 113 DELAWARE ST SUITE F
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City | LEAVENWORTH
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State | KS
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Zip | 66048-2822
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Country | US
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Telephone | 913-651-2500
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Fax | 913-651-2500
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Provider Business Mailing Address
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Address Line | 113 DELAWARE ST SUITE F
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City | LEAVENWORTH
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State | KS
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Zip | 66048-2822
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Country | US
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Telephone | 913-651-2500
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Fax | 913-651-2500
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Authorized Official
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Title or Position | CEO
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Name | DR. JOE DEAN JONES
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Credential | D.C.
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Telephone | 913-651-2500
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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 | 01-04846
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License Number State | KS
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