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General NPI Number Information
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NPI Number | 1316068380
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Entity Type | Organization
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Legal Business Name | PAPPAS CHIROPRACTIC PC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 414 W MAIN ST
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City | FESTUS
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State | MO
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Zip | 63028-1844
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Country | US
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Telephone | 636-937-6500
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Fax | 636-937-6618
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Provider Business Mailing Address
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Address Line | 414 W MAIN ST
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City | FESTUS
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State | MO
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Zip | 63028-1844
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Country | US
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Telephone | 636-937-6500
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Fax | 636-937-6618
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Authorized Official
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Title or Position | VP
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Name | DR. ANTHONY NICK PAPPAS
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Credential | D.O.
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Telephone | 636-937-6500
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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 | 1999142633
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License Number State | MO
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