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General NPI Number Information
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NPI Number | 1366782088
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Entity Type | Organization
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Legal Business Name | SUNSET HILLS FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 4600 SOUTH LINDBERGH AVE SUITE 3
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City | ST. LOUIS
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State | MO
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Zip | 63127
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Country | US
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Telephone | 314-729-0027
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Fax | 314-729-1015
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Provider Business Mailing Address
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Address Line | 4600 SOUTH LINDBERGH AVE SUITE 3
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City | ST. LOUIS
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State | MO
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Zip | 63127
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Country | US
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Telephone | 314-729-0027
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Fax | 314-729-1015
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRITTANY JEAN WARREN
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Credential | D.C.
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Telephone | 314-729-0027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 212041149
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2012041149
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License Number State | MO
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