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General NPI Number Information
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NPI Number | 1972072064
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Entity Type | Organization
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Legal Business Name | BONEWORKZ, LLC
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Dates
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Enumeration Date | 11/19/2018
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 211 S TYLER RD
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City | WICHITA
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State | KS
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Zip | 67209-1433
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Country | US
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Telephone | 316-768-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 211 S TYLER RD
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City | WICHITA
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State | KS
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Zip | 67209-1433
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Country | US
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Telephone | 316-722-2222
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Fax | 316-260-1888
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EARL W. MALONE
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Credential | D.C.
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Telephone | 316-722-2222
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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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