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General NPI Number Information
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NPI Number | 1063787463
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Entity Type | Organization
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Legal Business Name | JOHN T WERENSKI, DC LLC
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 9 THE PLZ
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City | TROY
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State | MO
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Zip | 63379-1365
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Country | US
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Telephone | 573-719-8202
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Fax |
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Provider Business Mailing Address
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Address Line | 6333 HIGHWAY V
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City | CURRYVILLE
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State | MO
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Zip | 63339-2605
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | JOHN THOMAS WERENSKI
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Credential | D.C.
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Telephone | 573-719-8202
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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 | 2012004887
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License Number State | MO
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