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General NPI Number Information
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NPI Number | 1164527016
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC & ACUPUNCTURE ASSOCIATES, P.C.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2001 S HANLEY RD SUITE 220
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City | SAINT LOUIS
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State | MO
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Zip | 63144-1518
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Country | US
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Telephone | 314-646-0013
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Fax | 314-646-0014
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Provider Business Mailing Address
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Address Line | 2001 S HANLEY RD SUITE 220
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City | SAINT LOUIS
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State | MO
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Zip | 63144-1518
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Country | US
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Telephone | 314-646-0013
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Fax | 314-646-0014
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRENDA L KINGEN
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Credential | D.C., F.A.A.C.A
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Telephone | 314-646-0013
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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 | CE006146
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License Number State | MO
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