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General NPI Number Information
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NPI Number | 1619105616
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Entity Type | Organization
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Legal Business Name | SCHIERLING CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 1219 S STATE ROUTE 17
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City | MOUNTAIN VIEW
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State | MO
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Zip | 65548-7126
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Country | US
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Telephone | 417-934-6337
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Fax | 417-934-6277
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Provider Business Mailing Address
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Address Line | 1219 S STATE ROUTE 17 P.O. BOX 501
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City | MOUNTAIN VIEW
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State | MO
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Zip | 65548-7126
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Country | US
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Telephone | 417-934-6337
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Fax | 417-934-6277
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Authorized Official
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Title or Position | OWNER
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Name | DR. RUSSELL STUART SCHIERLING
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Credential | D.C.
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Telephone | 417-934-6337
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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 | 6013
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License Number State | MO
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