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General NPI Number Information
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NPI Number | 1710272489
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Entity Type | Organization
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Legal Business Name | ALBERS CHIROPRACTIC HEALTH CENTER, PC
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Dates
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Enumeration Date | 06/10/2011
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 1001 HIGHWAY K SUITE 3
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City | O FALLON
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State | MO
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Zip | 63366-8423
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Country | US
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Telephone | 636-978-3778
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Fax | 636-978-3779
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Provider Business Mailing Address
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Address Line | 1001 HIGHWAY K SUITE 3
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City | O FALLON
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State | MO
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Zip | 63366-8423
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Country | US
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Telephone | 636-978-3778
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Fax | 636-978-3779
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUSAN DIANNE ALBERS
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Credential | DC
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Telephone | 636-978-3778
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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 | 004062
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License Number State | MO
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