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General NPI Number Information
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NPI Number | 1295037141
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Entity Type | Organization
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Legal Business Name | RICHARD R. BEHREND, INC
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 1201 POPLAR ST
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City | LAMAR
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State | MO
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Zip | 64759-1934
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Country | US
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Telephone | 417-682-2104
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Fax | 417-682-2104
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Provider Business Mailing Address
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Address Line | 1201 POPLAR ST
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City | LAMAR
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State | MO
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Zip | 64759-1934
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Country | US
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Telephone | 417-682-2104
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Fax | 417-682-2104
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD R. BEHREND
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Credential | D.C.
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Telephone | 417-682-2104
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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 | CE004259
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License Number State | MO
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