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General NPI Number Information
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NPI Number | 1467053918
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Entity Type | Organization
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Legal Business Name | JAKE SCHMITZ CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 199 FRONTIER PARK DR
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City | O FALLON
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State | MO
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Zip | 63366-3963
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Country | US
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Telephone | 636-379-5934
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Fax |
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Provider Business Mailing Address
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Address Line | 380 BECKLEY PL
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City | SAINT CHARLES
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State | MO
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Zip | 63304-1029
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Country | US
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Telephone | 636-448-2644
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | JACOB SCHMITZ
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Credential | DC, MS
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Telephone | 636-448-2644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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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 |
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License Number State |
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