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General NPI Number Information
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NPI Number | 1881944130
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Entity Type | Organization
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Legal Business Name | SMITH CHIROPRACTIC AND ACUPUNCTURE LLC
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 331 E MAIN ST
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City | MARION
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State | KS
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Zip | 66861-1629
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Country | US
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Telephone | 620-343-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 331 E MAIN ST
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City | MARION
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State | KS
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Zip | 66861-1629
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Country | US
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Telephone | 620-343-9900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LANE D. SMITH
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Credential | D.C.
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Telephone | 620-343-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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