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General NPI Number Information
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NPI Number | 1518405562
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Entity Type | Organization
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Legal Business Name | DOBSCH CHIROPRACTIC AND FAMILY WELLNESS, LLC
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 200 S TWO ST
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City | MARTHASVILLE
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State | MO
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Zip | 63357-4029
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Country | US
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Telephone | 636-229-1825
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Fax | 636-283-6260
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Provider Business Mailing Address
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Address Line | 200 S TWO ST
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City | MARTHASVILLE
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State | MO
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Zip | 63357-4029
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Country | US
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Telephone | 636-390-1878
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Fax | 636-283-6260
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Authorized Official
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Title or Position | PRIMARY CHIROPRACTOR
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Name | DR. SAMANTHA LEE ROSE DOBSCH
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Credential | DC
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Telephone | 636-229-1825
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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 | 2017001188
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License Number State | MO
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