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General NPI Number Information
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NPI Number | 1043104243
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Entity Type | Organization
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Legal Business Name | ANANDA CHIROPRACTIC AND ACUPUNCTURE LLC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 320 BROOKES DR STE 209
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City | HAZELWOOD
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State | MO
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Zip | 63042-2740
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Country | US
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Telephone | 314-329-5754
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Fax |
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Provider Business Mailing Address
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Address Line | 320 BROOKES DR STE 209
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City | HAZELWOOD
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State | MO
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Zip | 63042-2740
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Country | US
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Telephone | 314-329-5754
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR, OWNER
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Name | DR. AMANDA ELIZABETH SCIPHO
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Credential | DC
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Telephone | 314-329-5754
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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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