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General NPI Number Information
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NPI Number | 1578681565
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Entity Type | Organization
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Legal Business Name | ESSEN CHIROPRACTIC AND ACUPUNCTURE, L L C
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 11770 MANCHESTER ROAD
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City | DES PERES
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State | MO
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Zip | 63131-9998
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Country | US
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Telephone | 636-825-0360
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Fax | 636-825-0360
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Provider Business Mailing Address
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Address Line | 11770 MANCHESTER ROAD
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City | DES PERES
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State | MO
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Zip | 63131-9998
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Country | US
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Telephone | 636-825-0360
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Fax | 636-825-0360
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JOAN E ESSEN
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Credential | DC
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Telephone | 636-825-0360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2001011183
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License Number State | MO
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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 | 2001011183
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License Number State | MO
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