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General NPI Number Information
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NPI Number | 1023778313
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Entity Type | Organization
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Legal Business Name | SASSER CHIROPRACTIC LLC
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Dates
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Enumeration Date | 12/28/2021
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Last Update Date | 12/28/2021
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Provider Practice Location Address
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Address Line | 8641 WATSON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63119-5109
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Country | US
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Telephone | 314-962-3130
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Fax |
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Provider Business Mailing Address
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Address Line | 8845 GLEN ROSE DR
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City | SAINT LOUIS
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State | MO
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Zip | 63126-2313
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Country | US
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Telephone | 336-951-7709
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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. MICAH CHRISTOPHER SASSER
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Credential | DC
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Telephone | 336-951-7709
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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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