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General NPI Number Information
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NPI Number | 1942396528
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Entity Type | Organization
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Legal Business Name | YOUR WELLNESS CONNECTION, P.A.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 7410 SWITZER
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City | SHAWNEE
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State | KS
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Zip | 66203-4550
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Country | US
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Telephone | 913-962-7408
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Fax | 913-962-7416
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Provider Business Mailing Address
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Address Line | 7410 SWITZER
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City | SHAWNEE
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State | KS
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Zip | 66203-4550
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Country | US
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Telephone | 913-962-7408
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Fax | 913-962-7416
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Authorized Official
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Title or Position | CEO / OWNER
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Name | DR. MICHELLE M. ROBIN
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Credential | D.C.
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Telephone | 913-962-7408
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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 | N/A
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License Number State |
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