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General NPI Number Information
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NPI Number | 1477857183
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Entity Type | Organization
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Legal Business Name | ABLE CHIROPRACTIC ARTS, PC
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 1000 FAIRGROUNDS RD SUITE 101
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2381
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Country | US
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Telephone | 636-947-4046
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 FAIRGROUNDS RD SUITE 101
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2381
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Country | US
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Telephone | 636-947-4046
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. TERRENCE KEITH MCKELLAR
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Credential | D.C.
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Telephone | 636-947-4046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 004887
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License Number State | MO
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