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General NPI Number Information
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NPI Number | 1407137169
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Entity Type | Organization
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Legal Business Name | HECHT CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 09/19/2011
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Provider Practice Location Address
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Address Line | 150 WEISS RD SUITE 101
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City | SAINT PETERS
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State | MO
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Zip | 63376-0045
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Country | US
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Telephone | 636-447-1859
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Fax |
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Provider Business Mailing Address
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Address Line | 150 WEISS RD SUITE 101
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City | SAINT PETERS
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State | MO
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Zip | 63376-0045
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Country | US
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Telephone | 636-447-1859
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MATTHEW LEE HECHT
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Credential | D.C
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Telephone | 636-352-8655
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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 | 2011026702
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License Number State | MO
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