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General NPI Number Information
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NPI Number | 1619687647
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Entity Type | Organization
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Legal Business Name | ELEVATE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 2108 SCHUETZ RD
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City | SAINT LOUIS
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State | MO
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Zip | 63146-3538
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Country | US
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Telephone | 314-567-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 TIMBERBLUFF CT
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City | CHESTERFIELD
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State | MO
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Zip | 63017-5570
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Country | US
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Telephone | 636-368-7865
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Fax |
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Authorized Official
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Title or Position | OWNER / CHIROPRACTOR
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Name | DR. CHRISTIAN SCHMITT
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Credential | DC
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Telephone | 636-368-7865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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