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General NPI Number Information
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NPI Number | 1992354609
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Entity Type | Organization
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Legal Business Name | KIMBER L. WOOTEN-TOERING DC PC
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | 5815 RED ARROW HWY
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City | STEVENSVILLE
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State | MI
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Zip | 49127-1142
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Country | US
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Telephone | 269-429-5882
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Fax |
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Provider Business Mailing Address
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Address Line | 5815 RED ARROW HWY
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City | STEVENSVILLE
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State | MI
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Zip | 49127-1142
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Country | US
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Telephone | 269-429-5882
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KIMBER WOOTEN TOERING
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Credential | D.C.
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Telephone | 269-429-5882
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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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