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General NPI Number Information
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NPI Number | 1134013790
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Entity Type | Organization
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Legal Business Name | GMEINER CHIROPRACTIC LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1023 MAIN PLAZA DR
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City | WENTZVILLE
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State | MO
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Zip | 63385-1170
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Country | US
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Telephone | 636-290-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 15583 ROSE GATE LN # 16674
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City | CHESTERFIELD
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State | MO
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Zip | 63017-7421
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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 | JOSEPH GMEINER
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Credential | DC
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Telephone | 636-290-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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