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General NPI Number Information
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NPI Number | 1497968630
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Entity Type | Organization
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Legal Business Name | TIGER FAMILY CHIROPRACTIC AND WELLNESS CENTER
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 3600 INTERSTATE 70 DR SE SUITE A
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City | COLUMBIA
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State | MO
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Zip | 65201-6583
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Country | US
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Telephone | 573-268-1704
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 INTERSTATE 70 DR SE SUITE A
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City | COLUMBIA
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State | MO
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Zip | 65201-6583
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Country | US
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Telephone | 573-268-1704
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AMANDA M SIGNAIGO
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Credential | D.C.
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Telephone | 573-268-1704
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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 | 2006034083
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License Number State | MO
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