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General NPI Number Information
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NPI Number | 1023326295
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Entity Type | Organization
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Legal Business Name | LORI HUFFMAN, DC, LLC
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 11136 MANCHESTER RD # R
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City | KIRKWOOD
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State | MO
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Zip | 63122-1250
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Country | US
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Telephone | 314-822-0182
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Fax | 314-822-0182
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Provider Business Mailing Address
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Address Line | 11136 MANCHESTER RD # R
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City | KIRKWOOD
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State | MO
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Zip | 63122-1250
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Country | US
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Telephone | 314-822-0182
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Fax | 314-822-0182
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. LORI PAGE HUFFMAN
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Credential | DC
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Telephone | 314-822-0182
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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 | 006372
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License Number State | MO
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