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General NPI Number Information
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NPI Number | 1457487100
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Entity Type | Individual
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Provider Name | SHAWN REITER DC
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9717 LANDMARK PARKWAY DR 216
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City | SAINT LOUIS
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State | MO
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Zip | 63127-1628
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Country | US
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Telephone | 314-849-4120
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Fax |
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Provider Business Mailing Address
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Address Line | 83 CHICORY CT
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City | O FALLON
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State | MO
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Zip | 63368-9717
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Country | US
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Telephone |
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0006683
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License Number State | MO
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