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General NPI Number Information
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NPI Number | 1932673704
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Entity Type | Organization
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Legal Business Name | NWK CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 1005 S RANGE AVE STE 200
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City | COLBY
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State | KS
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Zip | 67701-3538
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Country | US
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Telephone | 785-460-0332
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Fax | 785-460-0335
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Provider Business Mailing Address
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Address Line | 1005 S RANGE AVE STE 200
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City | COLBY
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State | KS
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Zip | 67701-3538
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Country | US
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Telephone | 785-460-0332
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Fax | 785-460-0335
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIN RAE PARKER
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Credential | DC
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Telephone | 785-460-0332
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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 |
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License Number State |
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