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General NPI Number Information
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NPI Number | 1003790411
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Entity Type | Organization
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Legal Business Name | ELITE SPINAL CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 22 S JACKSON ST
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City | PERRYVILLE
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State | MO
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Zip | 63775-2515
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Country | US
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Telephone | 573-900-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 22 S JACKSON ST
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City | PERRYVILLE
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State | MO
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Zip | 63775-2515
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Country | US
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Telephone | 573-900-2100
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ABBY ORF
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Credential | DC
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Telephone | 573-900-2100
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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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