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General NPI Number Information
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NPI Number | 1588852073
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Entity Type | Organization
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Legal Business Name | GERALD J. WERTEL, DCPC
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 5203 CHIPPEWA ST SUITE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63109-2356
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Country | US
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Telephone | 314-352-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 5203 CHIPPEWA ST SUITE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63109-2356
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Country | US
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Telephone | 314-352-7000
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Fax |
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Authorized Official
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Title or Position | OFFICE ASSISTANT
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Name | MISS MARY ELIZABETH STEPHEN
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Credential |
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Telephone | 314-352-7000
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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 |
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License Number State |
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