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General NPI Number Information
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NPI Number | 1306183843
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Entity Type | Organization
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Legal Business Name | WAHL HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 01/03/2013
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 1415 ELBRIDGE PAYNE RD 145
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City | CHESTERFIELD
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State | MO
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Zip | 63017-8538
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Country | US
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Telephone | 314-681-8388
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Fax | 636-898-6808
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Provider Business Mailing Address
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Address Line | 15455 COUNTRY MILL CT
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City | CHESTERFIELD
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State | MO
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Zip | 63017-5118
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Country | US
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Telephone | 314-681-8521
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. AARON WAHL
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Credential | D.C.
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Telephone | 314-681-8521
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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 | 2006002533
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License Number State | MO
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