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General NPI Number Information
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NPI Number | 1023345311
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Entity Type | Organization
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Legal Business Name | NATURAL RESTORATION AND WOMEN'S HEALTH CENTER
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 11/09/2009
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Provider Practice Location Address
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Address Line | 2303 MCKELVEY RD
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-1531
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Country | US
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Telephone | 314-878-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 2303 MCKELVEY RD
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-1531
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Country | US
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Telephone | 314-878-9355
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MARY G HARPELL
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Credential | DC., PT.
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Telephone | 314-856-2565
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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 | 3372
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2004032527
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5740
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2007029215
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License Number State | MO
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