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General NPI Number Information
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NPI Number | 1881953420
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Entity Type | Individual
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Provider Name | MEGHAN RHEA BERRY DC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 1999 N AMIDON AVE SUITE 224
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City | WICHITA
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State | KS
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Zip | 67203-2121
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Country | US
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Telephone | 316-992-9361
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Fax | 316-831-9233
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Provider Business Mailing Address
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Address Line | 340 N 179TH CT W
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City | GODDARD
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State | KS
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Zip | 67052-8494
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Country | US
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Telephone | 316-992-9361
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Fax | 316-831-9233
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 01-05474
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License Number State | KS
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