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General NPI Number Information
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NPI Number | 1295937423
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Entity Type | Organization
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Legal Business Name | ALLIED PHYSICIANS GROUP LLC
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 12/23/2011
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Provider Practice Location Address
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Address Line | 244 E PRIMROSE ST
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5206
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Country | US
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Telephone | 417-315-9602
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Fax | 636-600-5042
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Provider Business Mailing Address
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Address Line | PO BOX 790126 DEPT. 30705
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City | ST. LOUIS
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State | MO
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Zip | 63179-0126
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Country | US
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Telephone | 314-275-8737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. KEVIN MEURET
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Credential | DC
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Telephone | 314-275-8737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 2003006353
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MO100753
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License Number State | MO
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