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General NPI Number Information
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NPI Number | 1497985691
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Entity Type | Organization
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Legal Business Name | SAALE CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 11339 GRAVOIS RD
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City | SAINT LOUIS
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State | MO
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Zip | 63126-3623
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Country | US
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Telephone | 314-842-1616
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Fax | 314-842-5860
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Provider Business Mailing Address
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Address Line | 11339 GRAVOIS RD
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City | SAINT LOUIS
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State | MO
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Zip | 63126-3623
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Country | US
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Telephone | 314-842-1616
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Fax | 314-842-5860
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY B. SAALE
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Credential | D.C.
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Telephone | 314-842-1616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 005674
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License Number State | MO
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