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General NPI Number Information
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NPI Number | 1275512592
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Entity Type | Organization
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Legal Business Name | DEAN WEICH INC
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5960 HOWDERSHELL ROAD SUITE 204
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City | HAZELWOOD
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State | MO
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Zip | 63042
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Country | US
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Telephone | 314-895-1136
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Fax | 314-895-5040
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Provider Business Mailing Address
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Address Line | 5960 HOWDERSHELL ROAD SUITE 204
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City | HAZELWOOD
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State | MO
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Zip | 63042
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Country | US
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Telephone | 314-895-1136
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Fax | 314-895-5040
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEAN M WEICH
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Credential | DC
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Telephone | 314-895-1136
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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 | 005778
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 005773
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 01795
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License Number State | MO
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