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General NPI Number Information
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NPI Number | 1033741202
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Entity Type | Organization
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Legal Business Name | OLALANI HOLDINGS LLC
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 6780 SOUTHWEST AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63143-2624
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Country | US
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Telephone | 314-502-7637
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Fax | 314-644-2309
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Provider Business Mailing Address
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Address Line | 950 FRANCIS PL STE 217
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City | CLAYTON
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State | MO
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Zip | 63105-2465
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Country | US
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Telephone | 314-502-7637
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Fax | 314-644-2309
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. ALEXANDER JOHANNES OLALANI MCGUIRE
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Credential | DC
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Telephone | 314-502-7637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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