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NPI 1043240088

NPI 1043240088 : KARIN GWENDOLYN BURMEISTER D.C. : CAMDENTON, MO

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General NPI Number Information
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    NPI Number           |    1043240088
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    Entity Type          |    Individual 
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    Provider Name        |    KARIN GWENDOLYN BURMEISTER D.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/04/2006
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    Last Update Date     |    03/05/2020
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Provider Practice Location Address
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    Address Line         |    139 E US HIGHWAY 54 STE 1C 
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    City                 |    CAMDENTON
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    State                |    MO
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    Zip                  |    65020-7320
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    Country              |    US
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    Telephone            |    573-348-3050
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    Fax                  |    573-346-8446
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Provider Business Mailing Address
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    Address Line         |    139 E HWY 54 SUITE 1C 
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    City                 |    CAMDENTON
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    State                |    MO
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    Zip                  |    65020
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    Country              |    US
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    Telephone            |    573-346-3050
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    Fax                  |    573-346-8446
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    2002024753
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    License Number State |    MO
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