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NPI 1326315888

NPI 1326315888 : MEGAN K FLOARKE D.C : CREVE COEUR, MO

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General NPI Number Information
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    NPI Number           |    1326315888
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN K FLOARKE D.C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/28/2011
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    Last Update Date     |    12/02/2016
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Provider Practice Location Address
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    Address Line         |    13035 OLIVE BLVD SUITE 216
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    City                 |    CREVE COEUR
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    State                |    MO
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    Zip                  |    63141-6173
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    Country              |    US
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    Telephone            |    314-542-2003
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    Fax                  |    314-542-2007
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Provider Business Mailing Address
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    Address Line         |    12032 TESSON FERRY RD SUITE 216
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63128-1774
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    Country              |    US
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    Telephone            |    314-843-0005
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    Fax                  |    314-842-9899
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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        |    111NI0013X
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    Taxonomy Name        |    Independent Medical Examiner Chiropractor
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    License Number       |    2011037864
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    111NI0013X
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    Taxonomy Name        |    Independent Medical Examiner Chiropractor
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    License Number       |    038012061
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    License Number State |    IL
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