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General NPI Number Information
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NPI Number | 1083577407
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Entity Type | Organization
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Legal Business Name | BACK SPECIALIST CHIROPRACTIC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 10807 BIG BEND RD
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City | KIRKWOOD
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State | MO
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Zip | 63122-6070
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Country | US
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Telephone | 314-600-7651
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Fax |
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Provider Business Mailing Address
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Address Line | 345 JEFFERSON CIRCLE DR
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City | FENTON
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State | MO
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Zip | 63026-3985
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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 | OWNER
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Name | DR. JOSEPH WILLIAM KAUFMANN
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Credential | D.C.
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Telephone | 314-740-3115
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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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