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General NPI Number Information
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NPI Number | 1275651275
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Entity Type | Individual
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Provider Name | JOAN E ESSEN DC
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 11770 MANCHESTER RD
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City | DES PERES
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State | MO
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Zip | 63131-4617
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Country | US
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Telephone | 636-825-0360
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Fax | 636-825-0360
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Provider Business Mailing Address
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Address Line | 11770 MANCHESTER RD
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City | DES PERES
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State | MO
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Zip | 63131-4617
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Country | US
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Telephone | 636-825-0360
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Fax | 636-825-0360
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2001011183
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2001011183
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License Number State | MO
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