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General NPI Number Information
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NPI Number | 1043340482
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Entity Type | Organization
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Legal Business Name | PAULETTE CHIROPRACTIC AND ACUPUNCTURE
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6341 CLAYTON ROAD
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City | ST LOUIS
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State | MO
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Zip | 63117
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Country | US
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Telephone | 314-727-2705
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Fax |
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Provider Business Mailing Address
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Address Line | 6341 CLAYTON ROAD
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City | ST LOUIS
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State | MO
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Zip | 63117
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Country | US
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Telephone | 314-727-2705
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Fax |
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Authorized Official
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Title or Position | DOCTOR OWNER
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Name | DR. MARGUERITE CATHERINE PAULETTE
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Credential | DOCTOR OF CHIROPRACT
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Telephone | 314-727-2705
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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 | 2000148381
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License Number State | MO
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